Moore, Cheryl S

Moore, Cheryl S is an individual health care provider with primary practice located at 612 Mocksville Ave , Salisbury NC 28144-2732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Moore, Cheryl S can be contacted via phone (704) 210-5661.

Contact Information

Primary practice address
612 Mocksville Ave Salisbury NC 28144-2732
Phone: (704) 210-5661
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 45272 North Carolina

Profile Details

NPI number 1760414924
LBN Legal business name Moore, Cheryl S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1760414924 NPPES
North Carolina Other P00117358 RR MEDICARE
North Carolina MEDICAID 8050664 RR MEDICARE

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