Moore, Shanice Kaitlyn Jaye
Moore, Shanice Kaitlyn Jaye is an sole proprietor health care provider with primary practice located at 2298 Norris Ave , Crescent City CA 95531-9344. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Moore, Shanice Kaitlyn Jaye can be contacted via phone (707) 464-2919.Contact Information
Primary practice address
2298 Norris Ave
Crescent City CA 95531-9344
Phone: (707) 464-2919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15527-RAC | California |
Profile Details
| NPI number | 1043845092 |
|---|---|
| LBN Legal business name | Moore, Shanice Kaitlyn Jaye |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2020 |
| Last updated | Mar 6th, 2024 - about last year |
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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