Moore, Christopher Le Andrew

Moore, Christopher Le Andrew is an individual health care provider with primary practice located at 360 N Irby St , Florence SC 29501-2808. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Moore, Christopher Le Andrew can be contacted via phone (843) 667-9414.

Contact Information

Primary practice address
360 N Irby St Florence SC 29501-2808
Fax: (843) 667-1362
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1073793931
LBN Legal business name Moore, Christopher Le Andrew
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated Feb 23rd, 2024 - about last year

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 1073793931 NPPES
South Carolina MEDICAID 405127

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