Moore, David R

Moore, David R is an individual health care provider with primary practice located at 2021 Church St Suite 200, Nashville TN 37203-2021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Moore, David R can be contacted via phone (615) 284-2000.

Contact Information

Primary practice address
2021 Church St Suite 200 Nashville TN 37203-2021
Fax: (615) 284-2003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD0000038464 Tennessee

Profile Details

NPI number 1508814880
LBN Legal business name Moore, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 18th, 2020 - about 4 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 1508814880 NPPES
Tennessee MEDICAID 3895357

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