Moore, Vincent Joseph
Moore, Vincent Joseph is an individual health care provider with primary practice located at 2251 N Shore Dr , Rhinelander WI 54501-8360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moore, Vincent Joseph can be contacted via phone (715) 361-4738.Contact Information
Primary practice address
2251 N Shore Dr
Rhinelander WI 54501-8360
Phone: (715) 361-4738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 20928 | Wisconsin |
Profile Details
| NPI number | 1083654628 |
|---|---|
| LBN Legal business name | Moore, Vincent Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Dec 15th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083654628 | NPPES |
| Wisconsin | MEDICAID | 34080300 |
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