Moore, Steven Robert
Moore, Steven Robert is an individual health care provider with primary practice located at 1020 Bandana Blvd W , Saint Paul MN 55108-5107. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moore, Steven Robert can be contacted via phone (651) 241-9700.Contact Information
Primary practice address
1020 Bandana Blvd W
Saint Paul MN 55108-5107
Phone: (651) 241-9700
Fax: (651) 241-9687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 30496 | Minnesota |
Profile Details
| NPI number | 1982678108 |
|---|---|
| LBN Legal business name | Moore, Steven Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Sep 11th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982678108 | NPPES |
| Minnesota | MEDICAID | 922585400 |
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