Moore, Mark Tyler

Moore, Mark Tyler is an sole proprietor health care provider with primary practice located at 700 Lawrence Expy , Santa Clara CA 95051-5173. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Moore, Mark Tyler can be contacted via phone (423) 360-3883.

Contact Information

Primary practice address
700 Lawrence Expy Santa Clara CA 95051-5173
Phone: (423) 360-3883
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3334 California
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 9806481-4101 Utah

Profile Details

NPI number 1487002689
LBN Legal business name Moore, Mark Tyler
Credentials AUD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2016
Last updated Feb 11th, 2022 - about 2 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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