Moore, Marvin

Moore, Marvin is an individual health care provider with primary practice located at 26 N Elm St , Waterbury CT 06702-1512. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Moore, Marvin can be contacted via phone (203) 574-3986.

Contact Information

Primary practice address
26 N Elm St Waterbury CT 06702-1512
Phone: (203) 574-3986
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1770367914
LBN Legal business name Moore, Marvin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2023
Last updated Aug 21st, 2023 - 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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