Moore, Anita

Moore, Anita is an sole proprietor health care provider with primary practice located at 81 Benning Pl , Dayton OH 45417-3720. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Moore, Anita can be contacted via phone (937) 301-0641.

Contact Information

Primary practice address
81 Benning Pl Dayton OH 45417-3720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1922694702
LBN Legal business name Moore, Anita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2020
Last updated Dec 16th, 2020 - about 5 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 1922694702 NPPES
Ohio MEDICAID 0205305

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