Moore, Nathaniel James Robert
Moore, Nathaniel James Robert is an sole proprietor health care provider with primary practice located at 15957 Firtree Dr , Apple Valley MN 55124-5834. 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, Nathaniel James Robert can be contacted via phone (612) 558-4112.Contact Information
Primary practice address
15957 Firtree Dr
Apple Valley MN 55124-5834
Phone: (612) 558-4112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1104407451 |
|---|---|
| LBN Legal business name | Moore, Nathaniel James Robert |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2021 |
| Last updated | Apr 19th, 2021 - about 3 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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