Moore, Roger T

Moore, Roger T is an individual health care provider with primary practice located at 111 N Nappanee St , Elkhart IN 46514-1957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Moore, Roger T can be contacted via phone (574) 522-0265.

Contact Information

Primary practice address
111 N Nappanee St Elkhart IN 46514-1957
Phone: (574) 522-0265
Fax: (574) 293-2855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01058554A Indiana

Profile Details

NPI number 1366408080
LBN Legal business name Moore, Roger T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 8th, 2007 - about 19 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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