Moore, Michelle Elizabeth

Moore, Michelle Elizabeth is an individual health care provider with primary practice located at 683 Broad St , Bristol CT 06010-6662. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Moore, Michelle Elizabeth can be contacted via phone (860) 583-2020.

Contact Information

Primary practice address
683 Broad St Bristol CT 06010-6662
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CT2482 Connecticut

Profile Details

NPI number 1194795971
LBN Legal business name Moore, Michelle Elizabeth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 7th, 2007 - about 17 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 1194795971 NPPES
Connecticut Other 906456 BLOCK VISION
Connecticut Other 0V5039 BLOCK VISION
Connecticut Other 599721 BLOCK VISION

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