Moore, Richard L

Moore, Richard L is an individual health care provider with primary practice located at 2700 W Norfolk Ave , Norfolk NE 68701-4438. 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, Richard L can be contacted via phone (402) 371-4880.

Contact Information

Primary practice address
2700 W Norfolk Ave Norfolk NE 68701-4438
Phone: (402) 371-4880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 100086 Nebraska

Profile Details

NPI number 1497709711
LBN Legal business name Moore, Richard L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Feb 21st, 2013 - about 11 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 1497709711 NPPES
Nebraska Other 36436 BCBS

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