Moore, Martina S
Moore, Martina S is an sole proprietor health care provider with primary practice located at 22639 Euclid Ave , Euclid OH 44117-1622. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moore, Martina S can be contacted via phone (216) 404-1900.Contact Information
Primary practice address
22639 Euclid Ave
Euclid OH 44117-1622
Phone: (216) 404-1900
Fax: (216) 404-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 975996 | Ohio |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E.1700264-SUPV | Ohio |
Profile Details
| NPI number | 1720349368 |
|---|---|
| LBN Legal business name | Moore, Martina S |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2012 |
| Last updated | Dec 15th, 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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