Moore, Ethel Lamar
Moore, Ethel Lamar is an individual health care provider with primary practice located at Rr 1 Box 67 , Harlem MT 59526-9705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moore, Ethel Lamar can be contacted via phone (406) 353-3100.Contact Information
Primary practice address
Rr 1 Box 67
Harlem MT 59526-9705
Phone: (406) 353-3100
Fax: (406) 353-3229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C 6449 | Arkansas |
Profile Details
| NPI number | 1053437079 |
|---|---|
| LBN Legal business name | Moore, Ethel Lamar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Feb 1st, 2008 - about 18 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 | 1053437079 | NPPES |
| Arkansas | Other | C-6449 | LICENSE |
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