Moore, Mike

Moore, Mike is an sole proprietor health care provider with primary practice located at 2053 Gause Blvd E Ste 150 , Slidell LA 70461-5451. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Moore, Mike can be contacted via phone (985) 445-3089.

Contact Information

Primary practice address
2053 Gause Blvd E Ste 150 Slidell LA 70461-5451
Phone: (985) 445-3089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750839577
LBN Legal business name Moore, Mike
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2016
Last updated Nov 27th, 2019 - about 5 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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