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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528030244 NPPES
New Mexico MEDICAID 29404037
New Mexico MEDICAID 59936363

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