Moore, Patricia M

Moore, Patricia M is an individual health care provider with primary practice located at 1910 Jake Alexander Blvd W Ste 102 , Salisbury NC 28147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Moore, Patricia M can be contacted via phone (704) 637-1779.

Contact Information

Primary practice address
1910 Jake Alexander Blvd W Ste 102 Salisbury NC 28147
Phone: (704) 637-1779
Fax: (704) 637-1121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 22019 North Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD066685L Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101252879 Virginia

Profile Details

NPI number 1003195355
LBN Legal business name Moore, Patricia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2011
Last updated Aug 9th, 2018 - about 8 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 1003195355 NPPES
Virginia MEDICAID 1830438

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