Moore, Emily Rebecca

Moore, Emily Rebecca is an individual health care provider with primary practice located at 1515 Park Ave , Columbus WI 53925-1618. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Moore, Emily Rebecca can be contacted via phone (920) 350-2672.

Contact Information

Primary practice address
1515 Park Ave Columbus WI 53925-1618
Fax: (920) 623-1250
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 253129 Wisconsin

Profile Details

NPI number 1124364377
LBN Legal business name Moore, Emily Rebecca
Credentials MS, RD, CD, CSO
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2012
Last updated Nov 30th, 2023 - about 2 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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