Moore, Amy Elizabeth
Moore, Amy Elizabeth is an sole proprietor health care provider with primary practice located at 555 Hospital Ln , Susanville CA 96130-4918. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Moore, Amy Elizabeth can be contacted via phone (530) 251-8108.Contact Information
Primary practice address
555 Hospital Ln
Susanville CA 96130-4918
Phone: (530) 251-8108
Fax: (530) 251-8394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1124231147 |
|---|---|
| LBN Legal business name | Moore, Amy Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jan 7th, 2011 - about 14 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 | 1124231147 | NPPES |
| California | MEDICAID | 1801 |
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