Moore, Duane Stephen
Moore, Duane Stephen is an sole proprietor health care provider with primary practice located at 2026 Olympic Hwy N Suite 101, Shelton WA 98584-4156. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moore, Duane Stephen can be contacted via phone (360) 432-8379.Contact Information
Primary practice address
2026 Olympic Hwy N Suite 101
Shelton WA 98584-4156
Phone: (360) 432-8379
Fax: (360) 432-0526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00008271 | Washington |
Profile Details
| NPI number | 1467587329 |
|---|---|
| LBN Legal business name | Moore, Duane Stephen |
| Credentials | DENTIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1467587329 | NPPES |
| Washington | MEDICAID | 5045075 |
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