Moore, Gaston A
Moore, Gaston A is an sole proprietor health care provider with primary practice located at 1702 W Tuckey Ln , Phoenix AZ 85015-1715. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Moore, Gaston A can be contacted via phone (602) 518-5910.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | LP039366 | Arizona |
Profile Details
NPI number | 1760717797 |
---|---|
LBN Legal business name | Moore, Gaston A |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 8th, 2009 |
Last updated | Oct 8th, 2009 - about 16 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 | 1760717797 | NPPES |
Arizona | Other | LP039366 | LPN |
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