Moore, Michael J

Moore, Michael J is an individual health care provider with primary practice located at 305 S State St , Aberdeen SD 57401-4527. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Moore, Michael J can be contacted via phone (605) 622-5000.

Contact Information

Primary practice address
305 S State St Aberdeen SD 57401-4527
Phone: (605) 622-5000
Fax: (605) 622-5255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R025845 South Dakota

Profile Details

NPI number 1215008891
LBN Legal business name Moore, Michael J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Feb 27th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215008891 NPPES
South Dakota Other R35918 DAKOTACARE
South Dakota Other 0002489 DAKOTACARE
South Dakota Other 035918 DAKOTACARE
South Dakota MEDICAID 5752422 DAKOTACARE

Popular Providers