Moore, Mark Daniel
Moore, Mark Daniel is an sole proprietor health care provider with primary practice located at 100 Miner St , Crescent City IL 60928-8092. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Moore, Mark Daniel can be contacted via phone (815) 683-2662.Contact Information
Primary practice address
100 Miner St
Crescent City IL 60928-8092
Phone: (815) 683-2662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1986210 | Illinois |
Profile Details
| NPI number | 1073031019 |
|---|---|
| LBN Legal business name | Moore, Mark Daniel |
| Credentials | MA SCHOOL PSYCHOLOGY |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 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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