Moore, Ellen
Moore, Ellen is an individual health care provider with primary practice located at 3912 32Nd Ave , Hudsonville MI 49426-8460. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moore, Ellen can be contacted via phone (616) 252-8700.Contact Information
Primary practice address
3912 32Nd Ave
Hudsonville MI 49426-8460
Phone: (616) 252-8700
Fax: (616) 252-8750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301115010 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4351027347 | Michigan |
Profile Details
| NPI number | 1992299515 |
|---|---|
| LBN Legal business name | Moore, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2018 |
| Last updated | Aug 25th, 2021 - about 5 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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