Moore, Calandra M

Moore, Calandra M is an individual health care provider with primary practice located at 3013 Courtney Ave , Ruston LA 71270-5332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Calandra M can be contacted via phone (318) 480-1618.

Contact Information

Primary practice address
3013 Courtney Ave Ruston LA 71270-5332
Phone: (318) 480-1618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 210789 Louisiana

Profile Details

NPI number 1811537707
LBN Legal business name Moore, Calandra M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2020
Last updated May 15th, 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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