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Contact Information

I ELAINE MOORE, MD
311 8TH AVE
SAINT ALBANS, WV25177
 Phone: 304-807-5131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for I ELAINE MOORE · (Female)

NPI # 1083636377
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 06/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 15837
  • WV Medicaid 0043622000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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