Moore, Madison Blaze
Moore, Madison Blaze is an individual health care provider with primary practice located at 207D Colegate Dr , Marietta OH 45750-2363. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Moore, Madison Blaze can be contacted via phone (740) 376-0930.Contact Information
Primary practice address
207D Colegate Dr
Marietta OH 45750-2363
Phone: (740) 376-0930
Fax: (740) 376-0933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | C.2002225-TRNE | Ohio |
Profile Details
| NPI number | 1003499237 |
|---|---|
| LBN Legal business name | Moore, Madison Blaze |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2021 |
| Last updated | May 5th, 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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