Moore, Melita N
Moore, Melita N is an individual health care provider with primary practice located at 201 East University Parkway , Baltimore MD 21218-2307. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Moore, Melita N can be contacted via phone (410) 554-2000.Contact Information
Primary practice address
201 East University Parkway
Baltimore MD 21218-2307
Phone: (410) 554-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | N9607 | Texas |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 35124167 | Ohio |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | A108599 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | D0084055 | Maryland |
Profile Details
| NPI number | 1225171929 |
|---|---|
| LBN Legal business name | Moore, Melita N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225171929 | NPPES |
| California | Other | A108599 | LICENSURE |
| California | Other | 124167 | LICENSURE |
| California | Other | D0084055 | LICENSURE |
| California | Other | N9607 | LICENSURE |
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