Moore, Douglas B
Moore, Douglas B is an individual health care provider with primary practice located at 700 W Market St , Athens AL 35611-2457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moore, Douglas B can be contacted via phone (256) 265-9891.Contact Information
Primary practice address
700 W Market St
Athens AL 35611-2457
Phone: (256) 265-9891
Fax: (256) 518-8276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 00017804 | Alabama |
Profile Details
| NPI number | 1497742548 |
|---|---|
| LBN Legal business name | Moore, Douglas B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Dec 4th, 2007 - about 19 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 | 1497742548 | NPPES |
| Alabama | Other | 051078970 | BCBS |
| Alabama | MEDICAID | 000078970 | BCBS |
| Alabama | Other | 5149005 | BCBS |
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