Moore, Paul Robert

Moore, Paul Robert is an individual health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. 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, Paul Robert can be contacted via phone (505) 609-2000.

Contact Information

Primary practice address
801 W Maple St Farmington NM 87401-5630
Phone: (505) 609-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R1778687 Minnesota

Profile Details

NPI number 1558686253
LBN Legal business name Moore, Paul Robert
Credentials RN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2010
Last updated Aug 11th, 2010 - about 14 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 1558686253 NPPES
Minnesota MEDICAID ENROLLED
Minnesota MEDICAID 1558686253

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