Moore, Robert K

Moore, Robert K is an sole proprietor health care provider with primary practice located at 28341 Hoover Rd , Warren MI 48093-4151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Moore, Robert K can be contacted via phone (586) 751-8890.

Contact Information

Primary practice address
28341 Hoover Rd Warren MI 48093-4151
Fax: (586) 751-1103
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301029450 Michigan

Profile Details

NPI number 1144219684
LBN Legal business name Moore, Robert K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Jan 15th, 2010 - about 15 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 1144219684 NPPES
Michigan MEDICAID 1666313
Michigan Other 0500002

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