Moore, Graham J
Moore, Graham J is an individual health care provider with primary practice located at 140 Hospital Dr Suite 203, Bennington VT 05201-5009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moore, Graham J can be contacted via phone (802) 442-3800.Contact Information
Primary practice address
140 Hospital Dr Suite 203
Bennington VT 05201-5009
Phone: (802) 442-3800
Fax: (802) 442-3855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0060214 | Maryland |
Profile Details
| NPI number | 1659327443 |
|---|---|
| LBN Legal business name | Moore, Graham J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Sep 29th, 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 | 1659327443 | NPPES |
| Massachusetts | MEDICAID | 2139979 | |
| Massachusetts | MEDICAID | 1013995 |
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