Moore, Michael

Moore, Michael is an individual health care provider with primary practice located at 3593 Medina Rd # 181 , Medina OH 44256-8182. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Moore, Michael can be contacted via phone (330) 536-3746.

Contact Information

Primary practice address
3593 Medina Rd # 181 Medina OH 44256-8182
Phone: (330) 536-3746
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 478286 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0030981 Ohio

Profile Details

NPI number 1619635117
LBN Legal business name Moore, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2021
Last updated Apr 8th, 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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