Moore, George Vincent

Moore, George Vincent is an individual health care provider with primary practice located at 300 Plaza Middlesex 3Rd Floor, Middletown CT 06457-3455. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Moore, George Vincent can be contacted via phone (860) 305-2083.

Contact Information

Primary practice address
300 Plaza Middlesex 3Rd Floor Middletown CT 06457-3455
Phone: (860) 305-2083
Fax: (860) 347-8120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 001602 Connecticut

Profile Details

NPI number 1407883366
LBN Legal business name Moore, George Vincent
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 28th, 2014 - about 11 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 1407883366 NPPES
Other 512845 VALUE OPTIONS
Other 722242000 VALUE OPTIONS
Other 254506 VALUE OPTIONS
Other 4397705 VALUE OPTIONS
Other 140001602CT02 VALUE OPTIONS
Other 061038160 VALUE OPTIONS
Other 2195892 VALUE OPTIONS
Other P3192844 VALUE OPTIONS
Other 722242000 VALUE OPTIONS

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