Moore, Nathan L

Moore, Nathan L is an individual health care provider with primary practice located at 22 Clinic Drive , Paris KY 40361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Nathan L can be contacted via phone (859) 987-0074.

Contact Information

Primary practice address
22 Clinic Drive Paris KY 40361
Fax: (859) 987-0098
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20167 Kentucky

Profile Details

NPI number 1093829822
LBN Legal business name Moore, Nathan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Apr 27th, 2011 - about 14 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 1093829822 NPPES
Kentucky MEDICAID 64201676

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