Moore, Nicholas M

Moore, Nicholas M is an individual health care provider with primary practice located at 1653 W Congress Pkwy Ste 1173 , Chicago IL 60612-3833. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Medical Technologist, Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician. Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician is his primary health care specialty. Moore, Nicholas M can be contacted via phone (312) 942-3214.

Contact Information

Primary practice address
1653 W Congress Pkwy Ste 1173 Chicago IL 60612-3833
Phone: (312) 942-3214
Fax: (312) 942-6787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician 247ZC0005X

Profile Details

NPI number 1073017679
LBN Legal business name Moore, Nicholas M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2018
Last updated Mar 20th, 2018 - about 7 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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