Moore, Vincent Paul

Moore, Vincent Paul is an sole proprietor health care provider with primary practice located at 7221 Engle Rd Ste 220 , Fort Wayne IN 46804-2233. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Moore, Vincent Paul can be contacted via phone (260) 469-8223.

Contact Information

Primary practice address
7221 Engle Rd Ste 220 Fort Wayne IN 46804-2233
Phone: (260) 469-8223
Fax: (260) 469-8201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 023438 Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 023438 Louisiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME144253 Florida

Profile Details

NPI number 1487612784
LBN Legal business name Moore, Vincent Paul
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Aug 2nd, 2021 - about 4 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 1487612784 NPPES
Florida MEDICAID 107111400

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