Moore, Elizabeth
Moore, Elizabeth is an sole proprietor health care provider with primary practice located at 11029 Quaker Valley Rd , Cazenovia WI 53924-8214. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Moore, Elizabeth can be contacted via phone (608) 415-7813.Contact Information
Primary practice address
11029 Quaker Valley Rd
Cazenovia WI 53924-8214
Phone: (608) 415-7813
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 154-49 | Wisconsin |
Profile Details
| NPI number | 1508314691 |
|---|---|
| LBN Legal business name | Moore, Elizabeth |
| Credentials | CPM LM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2016 |
| Last updated | Sep 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508314691 | NPPES |
| Wisconsin | Other | 154-49 | STATE OF WISCONSIN LICENSE |
| Wisconsin | Other | 15070010 | STATE OF WISCONSIN LICENSE |
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