Moore, Willa Fung
Moore, Willa Fung is an individual health care provider with primary practice located at 901 E 2Nd St Ste 201 , Reno NV 89502-1186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Willa Fung can be contacted via phone (775) 982-5000.Contact Information
Primary practice address
901 E 2Nd St Ste 201
Reno NV 89502-1186
Phone: (775) 982-5000
Fax: (775) 982-3900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 67689 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18933 | Nevada |
Profile Details
| NPI number | 1225272081 |
|---|---|
| LBN Legal business name | Moore, Willa Fung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2009 |
| Last updated | Jul 19th, 2019 - about 7 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 | 1225272081 | NPPES |
| Georgia | MEDICAID | 003123555A |
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