Moore, Shelly M

Moore, Shelly M is an sole proprietor health care provider with primary practice located at 696 Roy Grider Rd , Summer Shade KY 42166-7631. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Moore, Shelly M can be contacted via phone (270) 590-8513.

Contact Information

Primary practice address
696 Roy Grider Rd Summer Shade KY 42166-7631
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X

Profile Details

NPI number 1750715926
LBN Legal business name Moore, Shelly M
Credentials C.P.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2013
Last updated Aug 23rd, 2013 - about 12 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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