Moore, Richard

Moore, Richard is an individual health care provider with primary practice located at 3931 Louisiana Ave S Suite W300, St Louis Park MN 55426-4375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Moore, Richard can be contacted via phone (952) 993-3265.

Contact Information

Primary practice address
3931 Louisiana Ave S Suite W300 St Louis Park MN 55426-4375
Phone: (952) 993-3265
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34906 Minnesota

Profile Details

NPI number 1861479834
LBN Legal business name Moore, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Mar 5th, 2012 - 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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