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
Phone: (843) 667-9414
Fax: (843) 667-1362
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073793931 | NPPES |
South Carolina | MEDICAID | 405127 |
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