Moore, Donald R

Moore, Donald R is an individual health care provider with primary practice located at 25599 Kelly Rd Suite B, Roseville MI 48066-4975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moore, Donald R can be contacted via phone (586) 445-2330.

Contact Information

Primary practice address
25599 Kelly Rd Suite B Roseville MI 48066-4975
Fax: (586) 445-2352
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DM038055 Michigan

Profile Details

NPI number 1427073469
LBN Legal business name Moore, Donald R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 22nd, 2020 - about 6 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 1427073469 NPPES
Michigan MEDICAID 3232662
Michigan Other DM038055
Michigan Other 110131072
Michigan Other 1105016431

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