Moore, Chaquita M
Moore, Chaquita M is an individual health care provider with primary practice located at 160 Spring Branch Dr , Dublin GA 31021-0356. 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, Chaquita M can be contacted via phone (478) 274-8489.Contact Information
Primary practice address
160 Spring Branch Dr
Dublin GA 31021-0356
Phone: (478) 274-8489
Fax: (478) 275-0731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN138492 NP | Georgia |
Profile Details
| NPI number | 1205980844 |
|---|---|
| LBN Legal business name | Moore, Chaquita M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Oct 31st, 2017 - about 7 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 | 1205980844 | NPPES |
| Georgia | Other | RN138492 NP | LICENSE |
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