Moore, Erica

Moore, Erica is an individual health care provider with primary practice located at 607 W 119Th St 2, Chicago IL 60628-5939. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Moore, Erica can be contacted via phone (773) 255-1524.

Contact Information

Primary practice address
607 W 119Th St 2 Chicago IL 60628-5939
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1710379789
LBN Legal business name Moore, Erica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2015
Last updated Feb 26th, 2015 - 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.

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