Moore, Elaine

Moore, Elaine is an individual health care provider with primary practice located at 3490 Lexington Ave N , Shoreview MN 55126-8074. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Elaine can be contacted via phone (651) 486-3808.

Contact Information

Primary practice address
3490 Lexington Ave N Shoreview MN 55126-8074
Fax: (651) 486-3858
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3443 Minnesota

Profile Details

NPI number 1497812283
LBN Legal business name Moore, Elaine
Credentials MA, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 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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