Moore, Marc Aaron

Moore, Marc Aaron is an individual health care provider with primary practice located at 484 Golden Autumn Way Ste 201 , Bowling Green KY 42103-6914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Moore, Marc Aaron can be contacted via phone (270) 780-2494.

Contact Information

Primary practice address
484 Golden Autumn Way Ste 201 Bowling Green KY 42103-6914
Fax: (270) 780-0465
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 42630 Kentucky

Profile Details

NPI number 1225185044
LBN Legal business name Moore, Marc Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Nov 10th, 2021 - about 4 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 1225185044 NPPES
Kentucky MEDICAID 7100080340

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