Moore, William David
Moore, William David is an sole proprietor health care provider with primary practice located at 1127 N Western Avenue , Marion IN 46952-1164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moore, William David can be contacted via phone (765) 662-4666.Contact Information
Primary practice address
1127 N Western Avenue
Marion IN 46952-1164
Phone: (765) 662-4666
Fax: (765) 662-4106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01043323A | Indiana |
Profile Details
| NPI number | 1194801373 |
|---|---|
| LBN Legal business name | Moore, William David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Nov 19th, 2012 - about 12 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 | 1194801373 | NPPES |
| Indiana | MEDICAID | 100465860B |
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