Moore, Arl Van
Moore, Arl Van is an individual health care provider with primary practice located at 700 E Morehead St Ste 300 , Charlotte NC 28202-2742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Moore, Arl Van can be contacted via phone (704) 334-7800.Contact Information
Primary practice address
700 E Morehead St Ste 300
Charlotte NC 28202-2742
Phone: (704) 334-7800
Fax: (704) 414-7512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20166 | South Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C-4845 | Arkansas |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | C-4845 | Arkansas |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 20166 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 21689 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 21689 | North Carolina |
Profile Details
| NPI number | 1760481212 |
|---|---|
| LBN Legal business name | Moore, Arl Van |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Dec 20th, 2017 - about 7 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 | 1760481212 | NPPES |
| South Carolina | MEDICAID | N21689 | |
| South Carolina | MEDICAID | 8960178 | |
| South Carolina | Other | 300096407 |
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