Moore, Robert K
Moore, Robert K is an sole proprietor health care provider with primary practice located at 28341 Hoover Rd , Warren MI 48093-4151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Moore, Robert K can be contacted via phone (586) 751-8890.Contact Information
Primary practice address
28341 Hoover Rd
Warren MI 48093-4151
Phone: (586) 751-8890
Fax: (586) 751-1103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301029450 | Michigan |
Profile Details
| NPI number | 1144219684 |
|---|---|
| LBN Legal business name | Moore, Robert K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jan 15th, 2010 - about 16 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 | 1144219684 | NPPES |
| Michigan | MEDICAID | 1666313 | |
| Michigan | Other | 0500002 |
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