Moore, Eileen M.

Moore, Eileen M. is an individual health care provider with primary practice located at 108 New London Tpke , Norwich CT 06360-2645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Moore, Eileen M. can be contacted via phone (860) 889-3052.

Contact Information

Primary practice address
108 New London Tpke Norwich CT 06360-2645
Phone: (860) 889-3052
Fax: (860) 889-0926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 001598 Connecticut

Profile Details

NPI number 1588700538
LBN Legal business name Moore, Eileen M.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Mar 19th, 2016 - about 9 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 1588700538 NPPES
Connecticut Other 001598 APRN LICENSE NUMBER
Connecticut MEDICAID 004183365 APRN LICENSE NUMBER

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