Henry, Don Moore

Henry, Don Moore is an individual health care provider with primary practice located at 800 Macarthur Boulevard Suite 6, Munster IN 46321-2917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Henry, Don Moore can be contacted via phone (219) 836-5512.

Contact Information

Primary practice address
800 Macarthur Boulevard Suite 6 Munster IN 46321-2917
Phone: (219) 836-5512
Fax: (219) 836-7978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01033302 Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01033302A Indiana

Profile Details

NPI number 1871772871
LBN Legal business name Henry, Don Moore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Mar 2nd, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871772871 NPPES
Indiana MEDICAID 100148030A

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