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
Fax: (440) 599-9931
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528198793 NPPES
Ohio MEDICAID 104228533699

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