Moore, Ian J
Moore, Ian J is an individual health care provider with primary practice located at 2200 Fort Roots Dr , North Little Rock AR 72114-1709. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moore, Ian J can be contacted via phone (501) 257-2152.Contact Information
Primary practice address
2200 Fort Roots Dr
North Little Rock AR 72114-1709
Phone: (501) 257-2152
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301019281 | Michigan |
Profile Details
| NPI number | 1265075253 |
|---|---|
| LBN Legal business name | Moore, Ian J |
| Credentials | PHD, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2019 |
| Last updated | Jan 31st, 2024 - about last year |
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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