Moore, Robert Stroud
Moore, Robert Stroud is an sole proprietor health care provider with primary practice located at 2359 Hwy 1 South , Greenville MS 38701. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Moore, Robert Stroud can be contacted via phone (662) 335-9434.Contact Information
Primary practice address
2359 Hwy 1 South
Greenville MS 38701
Phone: (662) 335-9434
Fax: (662) 335-9464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A2092 | Mississippi |
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | HA0470 | Mississippi |
Profile Details
| NPI number | 1538173349 |
|---|---|
| LBN Legal business name | Moore, Robert Stroud |
| Credentials | MA-CCC-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Apr 10th, 2017 - about 9 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 | 1538173349 | NPPES |
| Mississippi | MEDICAID | 00770235 |
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