Moore, Vickie B

Moore, Vickie B is an individual health care provider with primary practice located at 2728 Old Forest Road , Lynchburg VA 24501-2435. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moore, Vickie B can be contacted via phone (434) 385-7818.

Contact Information

Primary practice address
2728 Old Forest Road Lynchburg VA 24501-2435
Phone: (434) 385-7818
Fax: (434) 385-7820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024059060 Virginia

Profile Details

NPI number 1316929839
LBN Legal business name Moore, Vickie B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Dec 20th, 2011 - about 15 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 1316929839 NPPES
Virginia MEDICAID 007780125

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