Moore, Richard E
Moore, Richard E is an sole proprietor health care provider with primary practice located at 6156 W Emerald Street , Boise ID 83704-8613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Moore, Richard E can be contacted via phone (208) 377-0777.Contact Information
Primary practice address
6156 W Emerald Street
Boise ID 83704-8613
Phone: (208) 377-0777
Fax: (208) 377-1070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M5456 | Idaho |
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | M5456 | Idaho |
Profile Details
NPI number | 1679519367 |
---|---|
LBN Legal business name | Moore, Richard E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 21st, 2006 |
Last updated | Apr 7th, 2015 - about 9 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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