Moore, Anjelica
Moore, Anjelica is an sole proprietor health care provider with primary practice located at 245 Cherry St Se Ste 100 , Grand Rapids MI 49503-4607. She recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as her primary health care specialty. Moore, Anjelica can be contacted via phone (616) 685-3200.Contact Information
Primary practice address
245 Cherry St Se Ste 100
Grand Rapids MI 49503-4607
Phone: (616) 685-3200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X |
Profile Details
| NPI number | 1568200541 |
|---|---|
| LBN Legal business name | Moore, Anjelica |
| Credentials | MD FAMILY PRACTICE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2024 |
| Last updated | Jul 16th, 2024 - about 5 months 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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