Moore, Wendy Colleen
Moore, Wendy Colleen is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Moore, Wendy Colleen can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2000 00556 | North Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2000 00556 | North Carolina |
Profile Details
| NPI number | 1235112376 |
|---|---|
| LBN Legal business name | Moore, Wendy Colleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | May 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235112376 | NPPES |
| Virginia | MEDICAID | 5854181 | |
| Virginia | MEDICAID | 3004784000 | |
| Virginia | MEDICAID | 89127UW | |
| Virginia | Other | 43246 | |
| Virginia | MEDICAID | Q00557 | |
| Virginia | Other | 127UW | |
| Virginia | Other | 99594 | |
| Virginia | Other | 7577328 |
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