Moore, Harold Randall
Moore, Harold Randall is an sole proprietor health care provider with primary practice located at 1001 E Harmony Rd Unit A #310, Fort Collins CO 80525-8888. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Moore, Harold Randall can be contacted via phone (970) 472-8700.Contact Information
Primary practice address
1001 E Harmony Rd Unit A #310
Fort Collins CO 80525-8888
Phone: (970) 472-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 339 | Colorado |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 448 | Missouri |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 116 | Wyoming |
Profile Details
| NPI number | 1023096989 |
|---|---|
| LBN Legal business name | Moore, Harold Randall |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2006 |
| Last updated | Jul 22nd, 2010 - about 15 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 | 1023096989 | NPPES |
| Wyoming | MEDICAID | 116212800 | |
| Wyoming | MEDICAID | 95885269 |
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