Moore, William L.

Moore, William L. is an individual health care provider with primary practice located at 4011 Talbot Rd S Suite 220, Renton WA 98055-5791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moore, William L. can be contacted via phone (425) 656-5350.

Contact Information

Primary practice address
4011 Talbot Rd S Suite 220 Renton WA 98055-5791
Fax: (425) 656-5350
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-12228 Hawaii

Profile Details

NPI number 1548342454
LBN Legal business name Moore, William L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated May 22nd, 2014 - about 11 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 1548342454 NPPES
Hawaii Other 00B0238382 HMSA - KMS
Hawaii MEDICAID 51701203 HMSA - KMS
Hawaii Other 00A0238384 HMSA - KMS
Hawaii MEDICAID 51701202 HMSA - KMS

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