Moore, Jacqueline Adele

Moore, Jacqueline Adele is an sole proprietor health care provider with primary practice located at 1048 Spinnaker St , Elgin IL 60123-8587. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Moore, Jacqueline Adele can be contacted via phone (224) 628-2716.

Contact Information

Primary practice address
1048 Spinnaker St Elgin IL 60123-8587
Phone: (224) 628-2716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227005797 Illinois

Profile Details

NPI number 1952655466
LBN Legal business name Moore, Jacqueline Adele
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2012
Last updated Nov 6th, 2012 - about 13 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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