Moore, Raymond Michael

Moore, Raymond Michael is an sole proprietor health care provider with primary practice located at 280 Va Avenue Ne Suite 101, Norton VA 24273-1539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Raymond Michael can be contacted via phone (276) 679-2555.

Contact Information

Primary practice address
280 Va Avenue Ne Suite 101 Norton VA 24273-1539
Fax: (276) 679-2680
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101042256 Virginia

Profile Details

NPI number 1841215225
LBN Legal business name Moore, Raymond Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated May 14th, 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 1841215225 NPPES
Virginia Other P00065331 RAILROAD MEDICARE
Virginia Other 000101600 RAILROAD MEDICARE
Virginia Other 258965 RAILROAD MEDICARE
Virginia MEDICAID 005612713 RAILROAD MEDICARE

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