Moore, Thomas K

Moore, Thomas K is an individual health care provider with primary practice located at 2001 Coolidge Rd , East Lansing MI 48823-1378. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Moore, Thomas K can be contacted via phone (517) 337-1668.

Contact Information

Primary practice address
2001 Coolidge Rd East Lansing MI 48823-1378
Phone: (517) 337-1668
Fax: (517) 337-1779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301047643 Michigan

Profile Details

NPI number 1013992247
LBN Legal business name Moore, Thomas K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Sep 3rd, 2008 - about 16 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 1013992247 NPPES
Michigan Other TM047643 STATE LICENSE NUMBER
Michigan Other 180011842 STATE LICENSE NUMBER
Michigan MEDICAID 1614148 STATE LICENSE NUMBER
Michigan Other 200000002424 STATE LICENSE NUMBER

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