Moore, Matthew
Moore, Matthew is an individual health care provider with primary practice located at 200 Lasso Dr , Warner Robins GA 31088-6648. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Moore, Matthew can be contacted via phone (478) 542-4918.Contact Information
Primary practice address
200 Lasso Dr
Warner Robins GA 31088-6648
Phone: (478) 542-4918
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 3774 | Massachusetts |
Profile Details
NPI number | 1285173138 |
---|---|
LBN Legal business name | Moore, Matthew |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2017 |
Last updated | Jun 4th, 2024 - about 6 months 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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