Moore, Richard A

Moore, Richard A is an individual health care provider with primary practice located at 979 E 3Rd St Ste 300, Chattanooga TN 37403-2136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Moore, Richard A can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
979 E 3Rd St Ste 300 Chattanooga TN 37403-2136
Phone: (423) 267-0466
Fax: (423) 778-8168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD36974 Tennessee
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD36974 Tennessee

Profile Details

NPI number 1881688521
LBN Legal business name Moore, Richard A
Credentials PHD, M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Feb 18th, 2019 - about 5 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 1881688521 NPPES
Other 1990242001 CIGNA
MEDICAID 009915145 CIGNA
Other 280001172 CIGNA
Other 62165877478 CIGNA
MEDICAID Q002576 CIGNA
MEDICAID 00968899A CIGNA
Other 4046885 CIGNA

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