Moore, Richard Eugene
Moore, Richard Eugene is an individual health care provider with primary practice located at 523 Harkrider St , Conway AR 72032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Moore, Richard Eugene can be contacted via phone (501) 504-6959.Contact Information
Primary practice address
523 Harkrider St
Conway AR 72032
Phone: (501) 504-6959
Fax: (501) 327-5963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 35984 | Missouri |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | E9341 | Arkansas |
Profile Details
| NPI number | 1841309952 |
|---|---|
| LBN Legal business name | Moore, Richard Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 18th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841309952 | NPPES |
| Other | 5BG40 | ARKANSAS BLUE CROSS | |
| Other | P01625775 | ARKANSAS BLUE CROSS | |
| Other | 105181 | ARKANSAS BLUE CROSS | |
| Other | MA6957001 | ARKANSAS BLUE CROSS | |
| MEDICAID | 201580115 | ARKANSAS BLUE CROSS | |
| Other | 178136 | ARKANSAS BLUE CROSS | |
| Other | 4691938 | ARKANSAS BLUE CROSS | |
| MEDICAID | 0280378073 | ARKANSAS BLUE CROSS |
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