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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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