Moore, Polly Eleanor
Moore, Polly Eleanor is an individual health care provider with primary practice located at 508 Fulton St , Durham NC 27705-3875. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moore, Polly Eleanor can be contacted via phone (919) 286-0411.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1211 | North Carolina |
Profile Details
| NPI number | 1144282823 |
|---|---|
| LBN Legal business name | Moore, Polly Eleanor |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1144282823 | NPPES |
| North Carolina | Other | 1211 | P.T. LICENSE |
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