Moore, John Micheal
Moore, John Micheal is an sole proprietor health care provider with primary practice located at 15 Bayview Ave , East Islip NY 11730-2401. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moore, John Micheal can be contacted via phone (631) 581-2542.Contact Information
Primary practice address
15 Bayview Ave
East Islip NY 11730-2401
Phone: (631) 581-2542
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R042827-1 | New York |
Profile Details
NPI number | 1154635076 |
---|---|
LBN Legal business name | Moore, John Micheal |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 3rd, 2010 |
Last updated | Aug 3rd, 2010 - about 15 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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