Moore, Robert William

Moore, Robert William is an sole proprietor health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Moore, Robert William can be contacted via phone (937) 395-6665.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Phone: (937) 395-6665
Fax: (937) 395-6668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35053512 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.053512 Ohio

Profile Details

NPI number 1780741058
LBN Legal business name Moore, Robert William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated May 4th, 2023 - about 3 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 1780741058 NPPES
Ohio MEDICAID 0656286

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