Moore, Michael R
Moore, Michael R is an individual health care provider with primary practice located at 217 W Cataldo Ave Fl 3 , Spokane WA 99201-2217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moore, Michael R can be contacted via phone (509) 747-6194.Contact Information
Primary practice address
217 W Cataldo Ave Fl 3
Spokane WA 99201-2217
Phone: (509) 747-6194
Fax: (509) 838-0824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00027465 | Washington |
Profile Details
| NPI number | 1407828551 |
|---|---|
| LBN Legal business name | Moore, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Nov 29th, 2022 - about 2 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 | 1407828551 | NPPES |
| Washington | Other | 0305792 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 1009609 | LABOR & INDUSTRIES |
| Washington | Other | P01321265 | LABOR & INDUSTRIES |
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