Moats, Shelley R

Moats, Shelley R is an individual health care provider with primary practice located at 1050 E Market St Ste 1 , Louisville KY 40206-1874. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Moats, Shelley R can be contacted via phone (502) 588-9587.

Contact Information

Primary practice address
1050 E Market St Ste 1 Louisville KY 40206-1874
Phone: (502) 588-9587
Fax: (502) 588-9580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 0465 Kentucky
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 100528 Kentucky
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 101740 Kentucky

Profile Details

NPI number 1851384168
LBN Legal business name Moats, Shelley R
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Sep 21st, 2021 - about 3 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 1851384168 NPPES
Kentucky Other 50009966 PASSPORT
Kentucky MEDICAID 200864840 PASSPORT
Kentucky MEDICAID 70001268 PASSPORT

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