Moore, Thomas B.

Moore, Thomas B. is an individual health care provider with primary practice located at 3020 Saint Johns Blvd Ste A, Joplin MO 64804-1564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Moore, Thomas B. can be contacted via phone (417) 781-5387.

Contact Information

Primary practice address
3020 Saint Johns Blvd Ste A Joplin MO 64804-1564
Phone: (417) 781-5387
Fax: (417) 781-7174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R3B12 Missouri

Profile Details

NPI number 1891736815
LBN Legal business name Moore, Thomas B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Feb 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891736815 NPPES
Kansas MEDICAID 100164600E
Kansas Other P00800249
Kansas MEDICAID 100164600F
Kansas Other 1891736815
Kansas Other P00800228
Kansas MEDICAID 201669439
Kansas Other 21620038

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