Moore, Lisa
Moore, Lisa is an sole proprietor health care provider with primary practice located at 14 W Funderburg Rd , Fairborn OH 45324-2816. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Moore, Lisa can be contacted via phone (937) 929-0440.Contact Information
Primary practice address
14 W Funderburg Rd
Fairborn OH 45324-2816
Phone: (937) 929-0440
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
NPI number | 1558931683 |
---|---|
LBN Legal business name | Moore, Lisa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 30th, 2021 |
Last updated | Jun 30th, 2021 - about 4 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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