Moore, Cary C
Moore, Cary C is an sole proprietor health care provider with primary practice located at 3300 Providence Dr Ste B302 , Anchorage AK 99508-4621. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Occupational Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Moore, Cary C can be contacted via phone (907) 212-2090.Contact Information
Primary practice address
3300 Providence Dr Ste B302
Anchorage AK 99508-4621
Phone: (907) 212-2090
Fax: (907) 212-2570
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X | 2060 | Alaska |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | PHYO2060 | Alaska |
Profile Details
NPI number | 1013147016 |
---|---|
LBN Legal business name | Moore, Cary C |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2009 |
Last updated | Aug 23rd, 2021 - about 4 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 | 1013147016 | NPPES |
Alaska | MEDICAID | CMG121 | |
Alaska | MEDICAID | HC1621 |
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