Moore, Donna M
Moore, Donna M is an sole proprietor health care provider with primary practice located at 459 Mill St , Conneaut OH 44030-2454. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Moore, Donna M can be contacted via phone (440) 593-1361.Contact Information
Primary practice address
459 Mill St
Conneaut OH 44030-2454
Phone: (440) 593-1361
Fax: (440) 599-9931
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN 077951 | Ohio |
Profile Details
NPI number | 1528198793 |
---|---|
LBN Legal business name | Moore, Donna M |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 6th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1528198793 | NPPES |
Ohio | MEDICAID | 104228533699 |
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