Moore, Nathaniel J

Moore, Nathaniel J is an individual health care provider with primary practice located at 895 S Logan St , Denver CO 80209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Moore, Nathaniel J can be contacted via phone (303) 733-3764.

Contact Information

Primary practice address
895 S Logan St Denver CO 80209
Phone: (303) 733-3764
Fax: (303) 733-0868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 35543 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35543 Colorado

Profile Details

NPI number 1275570301
LBN Legal business name Moore, Nathaniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated May 22nd, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275570301 NPPES
Colorado MEDICAID 01355437

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