Moore, Clifford Wayne
Moore, Clifford Wayne is an individual health care provider with primary practice located at 633 Lashley St , Morgantown WV 26505-2429. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Moore, Clifford Wayne can be contacted via phone (304) 290-9246.Contact Information
Primary practice address
633 Lashley St
Morgantown WV 26505-2429
Phone: (304) 290-9246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | West Virginia |
Profile Details
| NPI number | 1265044671 |
|---|---|
| LBN Legal business name | Moore, Clifford Wayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2020 |
| Last updated | Aug 18th, 2020 - about 4 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 | 1265044671 | NPPES |
| West Virginia | MEDICAID | 00805790074 |
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