Moore, Bradley J

Moore, Bradley J is an individual health care provider with primary practice located at 901 Heartland Road, Plaza 2 Suite 1800 , St. Joseph MO 64506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Moore, Bradley J can be contacted via phone (816) 232-8877.

Contact Information

Primary practice address
901 Heartland Road, Plaza 2 Suite 1800 St. Joseph MO 64506
Phone: (816) 232-8877
Fax: (816) 232-0307
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 2014009227 Missouri

Profile Details

NPI number 1295963783
LBN Legal business name Moore, Bradley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2009
Last updated Sep 15th, 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 1295963783 NPPES
Missouri Other 2009015677 STATE TEMPORARY LICENCE

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