Moore, Melissa Anne
Moore, Melissa Anne is an individual health care provider with primary practice located at 970 W Wooster St Suite 130, Bowling Green OH 43402-1600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Melissa Anne can be contacted via phone (419) 352-6890.Contact Information
Primary practice address
970 W Wooster St Suite 130
Bowling Green OH 43402-1600
Phone: (419) 352-6890
Fax: (419) 353-2415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.123460 | Ohio |
Profile Details
| NPI number | 1265728000 |
|---|---|
| LBN Legal business name | Moore, Melissa Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2011 |
| Last updated | Nov 23rd, 2020 - about 6 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 | 1265728000 | NPPES |
| Ohio | MEDICAID | 0107233 |
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