Moore, Steven
Moore, Steven is an sole proprietor health care provider with primary practice located at 908 Hillcrest Pkwy , Dublin GA 31021-4206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moore, Steven can be contacted via phone (478) 272-7411.Contact Information
Primary practice address
908 Hillcrest Pkwy
Dublin GA 31021-4206
Phone: (478) 272-7411
Fax: (478) 274-9809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004555 | Georgia |
Profile Details
| NPI number | 1962515395 |
|---|---|
| LBN Legal business name | Moore, Steven |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Mar 19th, 2008 - about 18 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 | 1962515395 | NPPES |
| Other | P00411777 | RAILROAD MEDICARE |
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