Moore, Patryce Jeanale
Moore, Patryce Jeanale is an individual health care provider with primary practice located at 3840 N Sherman Dr , Indianapolis IN 46226-4462. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Moore, Patryce Jeanale can be contacted via phone (317) 541-2920.Contact Information
Primary practice address
3840 N Sherman Dr
Indianapolis IN 46226-4462
Phone: (317) 541-2920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 2350-24-0013 | Indiana |
Profile Details
| NPI number | 1861663494 |
|---|---|
| LBN Legal business name | Moore, Patryce Jeanale |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2008 |
| Last updated | Mar 24th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861663494 | NPPES |
| Indiana | MEDICAID | 200503650 |
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