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Contact Information

SAMUEL B MOORE, ATC
4337 DREW AVE N
ROBBINSDALE, MN55422
 Phone: 651-373-9286
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for SAMUEL B MOORE · (Male)

NPI # 1346594793
Status Active
Credentials ATC
Entity Individual
Enumeration date 11/07/2012
Last updated 11/07/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 2403
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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