Moore, Crystal

Moore, Crystal is an individual health care provider with primary practice located at 2115 W Roosevelt Dr , Milwaukee WI 53209-6323. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Moore, Crystal can be contacted via phone (414) 207-0551.

Contact Information

Primary practice address
2115 W Roosevelt Dr Milwaukee WI 53209-6323
Phone: (414) 207-0551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1164170189
LBN Legal business name Moore, Crystal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2022
Last updated Mar 17th, 2022 - about 2 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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