Moore, Christina C

Moore, Christina C is an individual health care provider with primary practice located at 3003 W Good Hope Rd , Milwaukee WI 53209. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Moore, Christina C can be contacted via phone (414) 352-3100.

Contact Information

Primary practice address
3003 W Good Hope Rd Milwaukee WI 53209
Phone: (414) 352-3100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 125063522 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 67223 Wisconsin
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 67223 Wisconsin

Profile Details

NPI number 1962848945
LBN Legal business name Moore, Christina C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2013
Last updated Jul 1st, 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 1962848945 NPPES
Wisconsin MEDICAID 100069538

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