Moyer, Lenore Jolene

Moyer, Lenore Jolene is an individual health care provider with primary practice located at 711 Logan Blvd , Altoona PA 16602-4165. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Moyer, Lenore Jolene can be contacted via phone (814) 943-3668.

Contact Information

Primary practice address
711 Logan Blvd Altoona PA 16602-4165
Fax: (814) 942-7635
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC004749L Pennsylvania

Profile Details

NPI number 1780689737
LBN Legal business name Moyer, Lenore Jolene
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 1st, 2015 - about 9 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 1780689737 NPPES
Pennsylvania MEDICAID 001943530
Pennsylvania Other 203328
Pennsylvania Other 3142249/7154449PPO
Pennsylvania Other 1530682
Pennsylvania Other 79237-1327
Pennsylvania Other 000000141108
Pennsylvania Other 99382
Pennsylvania Other MO1476655

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