Moore, Jaclyn Marie
Moore, Jaclyn Marie is an individual health care provider with primary practice located at 10000 Telegraph Rd , Taylor MI 48180-3330. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Moore, Jaclyn Marie can be contacted via phone (248) 408-5103.Contact Information
Primary practice address
10000 Telegraph Rd
Taylor MI 48180-3330
Phone: (248) 408-5103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X |
Profile Details
| NPI number | 1114428364 |
|---|---|
| LBN Legal business name | Moore, Jaclyn Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2018 |
| Last updated | Feb 23rd, 2018 - 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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