Moore, Stephen G
Moore, Stephen G is an sole proprietor health care provider with primary practice located at 2749 E Covenanter Dr , Bloomington IN 47401-5454. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moore, Stephen G can be contacted via phone (812) 332-2265.Contact Information
Primary practice address
2749 E Covenanter Dr
Bloomington IN 47401-5454
Phone: (812) 332-2265
Fax: (812) 334-0853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01044533A | Indiana |
Profile Details
| NPI number | 1073815882 |
|---|---|
| LBN Legal business name | Moore, Stephen G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2010 |
| Last updated | Nov 30th, 2010 - about 16 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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