Moore, Douglas R

Moore, Douglas R is an individual health care provider with primary practice located at 25195 Kelly Rd Ste A , Roseville MI 48066-4909. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Moore, Douglas R can be contacted via phone (586) 775-4594.

Contact Information

Primary practice address
25195 Kelly Rd Ste A Roseville MI 48066-4909
Phone: (586) 775-4594
Fax: (586) 775-4506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 5101013212 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0102202087 Virginia
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 0102202087 Virginia

Profile Details

NPI number 1194729053
LBN Legal business name Moore, Douglas R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 10th, 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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