Moore, Robert L
Moore, Robert L is an sole proprietor health care provider with primary practice located at 5604 Old Canton Rd , Jackson MS 39211-4217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Robert L can be contacted via phone (601) 991-1044.Contact Information
Primary practice address
5604 Old Canton Rd
Jackson MS 39211-4217
Phone: (601) 991-1044
Fax: (601) 991-9868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18036 | Mississippi |
Profile Details
| NPI number | 1841281276 |
|---|---|
| LBN Legal business name | Moore, Robert L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Apr 18th, 2013 - about 13 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 | 1841281276 | NPPES |
| Mississippi | MEDICAID | 04133520 | |
| Mississippi | Other | 315954200 |
Popular Providers
-
Cox, James Joseph
2500 N State St , Jackson MS 39216-4500 -
Brooks, Brittany
805 E River Pl , Jackson MS 39202-3486 -
Phillippi, Dino R
1225 N State St , Jackson MS 39202-2064 -
Clayton, Todd A
1200 N State St Ste Ll-10 , Jackson MS 39202-2000 -
Gupta, Krishan Kumar
1059 Ridgewood Pl , Jackson MS 39211-2018 -
Okoye, Samuel Chinwuba
5429 Robinson Road Ext , Jackson MS 39204-4138 -
Coachys, Stephen A
5606 Old Canton Rd , Jackson MS 39211-4217 -
Lee, Jonathan
2500 N State St , Jackson MS 39216-4500