Moore, D. Wayne
Moore, D. Wayne is an individual health care provider with primary practice located at 501 E Hampden Ave , Englewood CO 80113-2702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Moore, D. Wayne can be contacted via phone (303) 761-9190.Contact Information
Primary practice address
501 E Hampden Ave
Englewood CO 80113-2702
Phone: (303) 761-9190
Fax: (303) 761-6322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2096 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2096 | Colorado |
Profile Details
| NPI number | 1528030244 |
|---|---|
| LBN Legal business name | Moore, D. Wayne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Nov 1st, 2007 - about 17 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 | 1528030244 | NPPES |
| New Mexico | MEDICAID | 29404037 | |
| New Mexico | MEDICAID | 59936363 |
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