Moore, Janessa Cynthia Lucille
Moore, Janessa Cynthia Lucille is an sole proprietor health care provider with primary practice located at 7962 Resurrection Dr , Anchorage AK 99504-4729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as her primary health care specialty. Moore, Janessa Cynthia Lucille can be contacted via phone (907) 205-9435.Contact Information
Primary practice address
7962 Resurrection Dr
Anchorage AK 99504-4729
Phone: (907) 205-9435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 945987 | Alaska |
Profile Details
| NPI number | 1871142018 |
|---|---|
| LBN Legal business name | Moore, Janessa Cynthia Lucille |
| Credentials | NCPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2019 |
| Last updated | Sep 10th, 2019 - about 6 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 | 1871142018 | NPPES |
| Alaska | Other | 945987 | NATION CENTER OF COMPETENCY |
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