Moore, James Knoble

Moore, James Knoble is an sole proprietor health care provider with primary practice located at 10247 E Covington St , Tucson AZ 85748-2146. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Illness, Child, Agencies / Foster Care Agency. Agencies / Foster Care Agency is his primary health care specialty. Moore, James Knoble can be contacted via phone (520) 290-9055.

Contact Information

Primary practice address
10247 E Covington St Tucson AZ 85748-2146
Phone: (520) 290-9055
Fax: (520) 748-1458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 4698 Arizona
Agencies / Foster Care Agency 253J00000X 4698 Arizona

Profile Details

NPI number 1629165097
LBN Legal business name Moore, James Knoble
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated May 3rd, 2021 - about 3 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 1629165097 NPPES
Arizona MEDICAID 754871

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