Moore, Cisco

Moore, Cisco is an sole proprietor health care provider with primary practice located at 4300 Lynn Rd Ste 201 , Ravenna OH 44266-7838. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Moore, Cisco can be contacted via phone (216) 264-0008.

Contact Information

Primary practice address
4300 Lynn Rd Ste 201 Ravenna OH 44266-7838
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1700479508
LBN Legal business name Moore, Cisco
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2021
Last updated Feb 12th, 2021 - about 3 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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