Moore, Daniel
Moore, Daniel is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Moore, Daniel can be contacted via phone (859) 341-7246.Contact Information
Primary practice address
1 Medical Village Dr
Edgewood KY 41017-3403
Phone: (859) 341-7246
Fax: (859) 341-7867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 036799 | Kentucky |
| Nursing Service Providers / Registered Nurse | 163W00000X | 1041947 | Kentucky |
Profile Details
| NPI number | 1639160674 |
|---|---|
| LBN Legal business name | Moore, Daniel |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Aug 28th, 2012 - about 12 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 | 1639160674 | NPPES |
| Ohio | MEDICAID | 0854713 | |
| Ohio | Other | 000000537086 | |
| Ohio | MEDICAID | 74092115 | |
| Ohio | MEDICAID | 200877870 |
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