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

Primary practice address
1702 W Tuckey Ln Phoenix AZ 85015-1715
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760717797 NPPES
Arizona Other LP039366 LPN

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