Moore, Elwood Daniel

Moore, Elwood Daniel is an individual health care provider with primary practice located at 2325 Stantonsburg Rd , Greenville NC 27834-7534. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moore, Elwood Daniel can be contacted via phone (252) 847-1550.

Contact Information

Primary practice address
2325 Stantonsburg Rd Greenville NC 27834-7534
Phone: (252) 847-1550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 100353 North Carolina

Profile Details

NPI number 1063408607
LBN Legal business name Moore, Elwood Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 14th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063408607 NPPES
Other 200033980 RAILROAD MEDICARE
Other 1274070001 RAILROAD MEDICARE

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