Moore, Brian Harold

Moore, Brian Harold is an individual health care provider with primary practice located at 813 W 2Nd St , Bloomington IN 47403-2212. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moore, Brian Harold can be contacted via phone (812) 330-0303.

Contact Information

Primary practice address
813 W 2Nd St Bloomington IN 47403-2212
Phone: (812) 330-0303
Fax: (812) 330-0404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01060196A Indiana

Profile Details

NPI number 1871554527
LBN Legal business name Moore, Brian Harold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 23rd, 2016 - about 10 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 1871554527 NPPES
Indiana MEDICAID 200514350

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