Moore, Derrick Allen

Moore, Derrick Allen is an individual health care provider with primary practice located at 1155 Mill St Ms W14 , Reno NV 89502-1576. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Moore, Derrick Allen can be contacted via phone (775) 982-7878.

Contact Information

Primary practice address
1155 Mill St Ms W14 Reno NV 89502-1576
Phone: (775) 982-7878
Fax: (775) 982-4196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10291 Nevada
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 10291 Nevada

Profile Details

NPI number 1598738098
LBN Legal business name Moore, Derrick Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jun 17th, 2021 - about 3 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 1598738098 NPPES
Nevada MEDICAID 1598738098
Nevada Other 11041252
Nevada Other 110242647

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