Moore, Dane Ellis

Moore, Dane Ellis is an individual health care provider with primary practice located at 1189 Beall Ave , Wooster OH 44691-2363. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Moore, Dane Ellis can be contacted via phone (608) 548-4335.

Contact Information

Primary practice address
1189 Beall Ave Wooster OH 44691-2363
Phone: (608) 548-4335
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT006891 Ohio

Profile Details

NPI number 1528841897
LBN Legal business name Moore, Dane Ellis
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2023
Last updated Aug 18th, 2023 - 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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