Moore, James Eddie
Moore, James Eddie is an individual health care provider with primary practice located at 2319 W Capitol Dr , Milwaukee WI 53206-1919. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Moore, James Eddie can be contacted via phone (414) 744-5370.Contact Information
Primary practice address
2319 W Capitol Dr
Milwaukee WI 53206-1919
Phone: (414) 744-5370
Fax: (414) 744-9052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2041 | Wisconsin |
Profile Details
| NPI number | 1427194877 |
|---|---|
| LBN Legal business name | Moore, James Eddie |
| Credentials | CADC-III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Mar 16th, 2015 - about 10 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 | 1427194877 | NPPES |
| Wisconsin | MEDICAID | 39369400 |
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