Moore, Timothy Loren

Moore, Timothy Loren is an individual health care provider with primary practice located at 2D Reconnaissance Battalion 2D Marine Division, Camp Lejeune NC 28542. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Moore, Timothy Loren can be contacted via phone (727) 251-4068.

Contact Information

Primary practice address
2D Reconnaissance Battalion 2D Marine Division Camp Lejeune NC 28542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1376189191
LBN Legal business name Moore, Timothy Loren
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2019
Last updated Nov 27th, 2019 - about 5 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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