Moore, Raven
Moore, Raven is an sole proprietor health care provider with primary practice located at 147 Harrison St , Oak Park IL 60304-1679. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Moore, Raven can be contacted via phone (708) 400-5574.Contact Information
Primary practice address
147 Harrison St
Oak Park IL 60304-1679
Phone: (708) 400-5574
Fax: (708) 613-9293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 198.001369 | Illinois |
Profile Details
| NPI number | 1053986802 |
|---|---|
| LBN Legal business name | Moore, Raven |
| Credentials | MSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2021 |
| Last updated | May 24th, 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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