Moore, Elisabeth Ann
Moore, Elisabeth Ann is an individual health care provider with primary practice located at 914 N Canal St , Carlsbad NM 88220-5110. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore, Elisabeth Ann can be contacted via phone (575) 885-4836.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | X-06317 | New Mexico |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M-06972 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-07640 | New Mexico |
Profile Details
| NPI number | 1407005796 |
|---|---|
| LBN Legal business name | Moore, Elisabeth Ann |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2008 |
| Last updated | Aug 24th, 2011 - about 13 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 | 1407005796 | NPPES |
| New Mexico | MEDICAID | 42630282 |
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