Moore, Heather

Moore, Heather is an sole proprietor health care provider with primary practice located at 124 Karen St , Washington WV 26181-3574. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Moore, Heather can be contacted via phone (304) 863-6377.

Contact Information

Primary practice address
124 Karen St Washington WV 26181-3574
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1265943872
LBN Legal business name Moore, Heather
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2017
Last updated Oct 23rd, 2017 - about 7 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 1265943872 NPPES
West Virginia MEDICAID 3810001438

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