National Provider Identifier Database

MICHAEL R MOORE, BOC P. ABC C.F.O. – NPI #1619020427
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

MICHAEL R MOORE, BOC P. ABC C.F.O.
615 W GROVE ST
EL DORADO, AR71730-4413
Phone: 870-862-0241
Fax: 903-838-8094
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for MICHAEL R MOORE

NPI Number 1619020427
Credentials BOC P. ABC C.F.O.
Entity Individual
Enumeration date 01/18/2007
Last updated 01/21/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • AR License #: OPP00120
Hospital affiliation n/a

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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