Moore, Shanelle
Moore, Shanelle is an individual health care provider with primary practice located at 1221 Mercantile Ln , Largo MD 20774-5374. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Moore, Shanelle can be contacted via phone (301) 618-5500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 207QA0505X | Maryland |
Profile Details
| NPI number | 1669028338 |
|---|---|
| LBN Legal business name | Moore, Shanelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2019 |
| Last updated | Aug 17th, 2019 - about 5 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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