Moore, Elaine Susan

Moore, Elaine Susan is an individual health care provider with primary practice located at 1032 Crosswinds Ct , Wentzville MO 63385-4836. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Moore, Elaine Susan can be contacted via phone (844) 853-8937.

Contact Information

Primary practice address
1032 Crosswinds Ct Wentzville MO 63385-4836
Phone: (844) 853-8937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2004022642 Missouri

Profile Details

NPI number 1285398982
LBN Legal business name Moore, Elaine Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2021
Last updated Oct 29th, 2021 - about 4 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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