Moore, Thomas Aquinas

Moore, Thomas Aquinas is an individual health care provider with primary practice located at 510 4Th St S , Fargo ND 58103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Moore, Thomas Aquinas can be contacted via phone (701) 476-7200.

Contact Information

Primary practice address
510 4Th St S Fargo ND 58103
Phone: (701) 476-7200
Fax: (701) 476-7269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 7266 North Dakota
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 7266 North Dakota

Profile Details

NPI number 1275625345
LBN Legal business name Moore, Thomas Aquinas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275625345 NPPES
North Dakota MEDICAID 11988

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