Moore, Julie A.

Moore, Julie A. is an individual health care provider with primary practice located at 3720 Avenue A Suite E, Kearney NE 68847-8169. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moore, Julie A. can be contacted via phone (308) 234-5644.

Contact Information

Primary practice address
3720 Avenue A Suite E Kearney NE 68847-8169
Phone: (308) 234-5644
Fax: (308) 234-5652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1012 Nebraska
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 30084 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 391 Nebraska

Profile Details

NPI number 1114038809
LBN Legal business name Moore, Julie A.
Credentials RNC, LIMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 5th, 2008 - about 17 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 1114038809 NPPES
Nebraska MEDICAID 47080829229
Nebraska Other 94077
Nebraska Other 470808292
Nebraska Other 348783000
Nebraska MEDICAID 47080829228
Nebraska Other 470808292

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