Moore, Monte Clayton

Moore, Monte Clayton is an individual health care provider with primary practice located at 2710 Rife Medical Ln , Rogers AR 72758-1452. 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, Monte Clayton can be contacted via phone (913) 381-5200.

Contact Information

Primary practice address
2710 Rife Medical Ln Rogers AR 72758-1452
Phone: (913) 381-5200
Fax: (913) 381-0979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CO1474 Arkansas

Profile Details

NPI number 1245290873
LBN Legal business name Moore, Monte Clayton
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 21st, 2013 - about 12 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 1245290873 NPPES
Oklahoma MEDICAID 200032010A
Oklahoma Other 5X900
Oklahoma Other P00143851
Oklahoma MEDICAID 1245290873
Oklahoma MEDICAID 154478701

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