Moorhead, Christine E
Moorhead, Christine E is an individual health care provider with primary practice located at 2893 Enterprise Rd Ste 100 , Debary FL 32713-2784. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Moorhead, Christine E can be contacted via phone (386) 789-8600.Contact Information
Primary practice address
2893 Enterprise Rd Ste 100
Debary FL 32713-2784
Phone: (386) 789-8600
Fax: (386) 789-0219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A95181 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME105152 | Florida |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME105152 | Florida |
Profile Details
| NPI number | 1821286535 |
|---|---|
| LBN Legal business name | Moorhead, Christine E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Jul 2nd, 2019 - about 5 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 | 1821286535 | NPPES |
| Florida | Other | 11995801 | CAQH |
| Florida | MEDICAID | 001380400 | CAQH |
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