Moore, Michele

Moore, Michele is an individual health care provider with primary practice located at 101 Washignton Street , Harrisburg PA 17104-1612. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Moore, Michele can be contacted via phone (717) 221-6258.

Contact Information

Primary practice address
101 Washignton Street Harrisburg PA 17104-1612
Phone: (717) 221-6258
Fax: (717) 657-7390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DN001736 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 504822 Pennsylvania

Profile Details

NPI number 1215979299
LBN Legal business name Moore, Michele
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 10th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215979299 NPPES
Pennsylvania MEDICAID 1016757810003
Pennsylvania Other 7574341
Pennsylvania Other 2818240
Pennsylvania Other DN001736

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