Moore, Andrew E

Moore, Andrew E is an individual health care provider with primary practice located at 1270 N Post Rd Suite A, Indianapolis IN 46219-4209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Moore, Andrew E can be contacted via phone (317) 895-6095.

Contact Information

Primary practice address
1270 N Post Rd Suite A Indianapolis IN 46219-4209
Phone: (317) 895-6095
Fax: (317) 895-6195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01027125A Indiana

Profile Details

NPI number 1427062116
LBN Legal business name Moore, Andrew E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Sep 16th, 2014 - about 11 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 1427062116 NPPES
Indiana Other 100194370 MEDICAID GROUP NUMBER
Indiana Other 000000091687 MEDICAID GROUP NUMBER
Indiana MEDICAID 100071440 MEDICAID GROUP NUMBER
Indiana Other 1487680518 MEDICAID GROUP NUMBER
Indiana Other 340017159 MEDICAID GROUP NUMBER

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