Moore, Alan Rather
Moore, Alan Rather is an individual health care provider with primary practice located at 971 Lakeland Dr Suite 560 Muscle And Nerve Pa, Jackson MS 39216-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Moore, Alan Rather can be contacted via phone (601) 982-9826.Contact Information
Primary practice address
971 Lakeland Dr Suite 560 Muscle And Nerve Pa
Jackson MS 39216-4607
Phone: (601) 982-9826
Fax: (601) 982-9535
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 18286 | Mississippi |
Profile Details
NPI number | 1245330133 |
---|---|
LBN Legal business name | Moore, Alan Rather |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1245330133 | NPPES |
Mississippi | MEDICAID | 09014965 | |
Mississippi | Other | P00159488 | |
Mississippi | MEDICAID | 06772854 | |
Mississippi | Other | DC2890 |
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