Moore, Mary Lynn

Moore, Mary Lynn is an individual health care provider with primary practice located at 1750 Thompson Rd , Coos Bay OR 97420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Mary Lynn can be contacted via phone (541) 269-0333.

Contact Information

Primary practice address
1750 Thompson Rd Coos Bay OR 97420
Phone: (541) 269-0333
Fax: (541) 269-7389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-076421 Illinois

Profile Details

NPI number 1164432522
LBN Legal business name Moore, Mary Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Dec 10th, 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.

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