Moore, Greg R
Moore, Greg R is an sole proprietor health care provider with primary practice located at 14633 N Del Webb Blvd , Sun City AZ 85351-2144. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Moore, Greg R can be contacted via phone (602) 549-2259.Contact Information
Primary practice address
14633 N Del Webb Blvd
Sun City AZ 85351-2144
Phone: (602) 549-2259
Fax: (623) 825-6632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | DA852 | Arizona |
Profile Details
| NPI number | 1699725937 |
|---|---|
| LBN Legal business name | Moore, Greg R |
| Credentials | AUD, CCCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 5th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699725937 | NPPES |
| Arizona | MEDICAID | 840018 |
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