Moore, Cheryl

Moore, Cheryl is an individual health care provider with primary practice located at 789 Central Ave , Dover NH 03820-2526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Moore, Cheryl can be contacted via phone (603) 742-2132.

Contact Information

Primary practice address
789 Central Ave Dover NH 03820-2526
Phone: (603) 742-2132
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 016067 Maine
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11761 New Hampshire
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 216651 Massachusetts

Profile Details

NPI number 1356332670
LBN Legal business name Moore, Cheryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Apr 18th, 2024 - about 2 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 1356332670 NPPES
Other 11098339 CAQH#
MEDICAID 30203266 CAQH#
MEDICAID 110033126A CAQH#
MEDICAID 305920099 CAQH#

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