Moore, Deborah B
Moore, Deborah B is an sole proprietor health care provider with primary practice located at 2006 Robertson St , Corinth MS 38834-3720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Deborah B can be contacted via phone (662) 665-0006.Contact Information
Primary practice address
2006 Robertson St
Corinth MS 38834-3720
Phone: (662) 665-0006
Fax: (662) 665-9151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R568031 | Mississippi |
Profile Details
| NPI number | 1285700443 |
|---|---|
| LBN Legal business name | Moore, Deborah B |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Feb 12th, 2013 - about 11 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 | 1285700443 | NPPES |
| Mississippi | MEDICAID | 00119995 |
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