Moore, Elizabeth D
Moore, Elizabeth D is an individual health care provider with primary practice located at 8940 N Wood Sage Road , Peoria IL 61615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Moore, Elizabeth D can be contacted via phone (309) 243-3000.Contact Information
Primary practice address
8940 N Wood Sage Road
Peoria IL 61615
Phone: (309) 243-3000
Fax: (309) 243-3050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Illinois |
Profile Details
| NPI number | 1265543391 |
|---|---|
| LBN Legal business name | Moore, Elizabeth D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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