Moore, Ann Margaret
Moore, Ann Margaret is an individual health care provider with primary practice located at 800 Broadway Suite 115, Fort Wayne IN 46802-2149. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Moore, Ann Margaret can be contacted via phone (260) 425-3636.Contact Information
Primary practice address
800 Broadway Suite 115
Fort Wayne IN 46802-2149
Phone: (260) 425-3636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 02002191A | Indiana |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 02002191A | Indiana |
Profile Details
| NPI number | 1194705269 |
|---|---|
| LBN Legal business name | Moore, Ann Margaret |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Mar 22nd, 2011 - about 15 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 | 1194705269 | NPPES |
| Indiana | Other | 000000283793 | ANTHEM |
| Indiana | MEDICAID | 200290130 | ANTHEM |
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