Christopher C Moore
Podiatrist
1235 Cedar Ct
Carbondale
, Illinois 62901-5335
Christopher C Moore
Podiatrist
1235 Cedar Ct
Carbondale
, Illinois 62901-5335
(618) 457-5199
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Christopher C Moore
- Po Box 997
- Carbondale, IL
- Zip : 62903-0997
- Fax : (618) 457-5199
- Phone : (618) 457-0431
Second Address
- Christopher C Moore
- 1235 Cedar Ct
- Carbondale, IL
- Zip : 62901-5335
- Fax : (618) 457-5199
- Phone : (618) 457-0431
Reviews
FAQs
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In what state does Christopher C Moore practice in?
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What is Christopher C Moore ’s gender?
Is Christopher C Moore a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016003389 | IL |
| Y | 222Z00000X | Podiatrist | 016003389 | IL |
National Provider Identifier
| NPI | 1013941392 |
|---|---|
| Provider Name | Christopher C Moore |
| First Address | Carbondale, IL 62903-0997 |
| Second Address | Carbondale, IL 62901-5335 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 25/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016003389 | (05) | IL |
| 03922239 | BLUE CROSS BLUE SHIELD (01) | IL |
| CI5845 / 1013941392 | RAILROAD MEDICARE (01) | IL |
| T38053 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.