Moore, Shenarra Nicole

Moore, Shenarra Nicole is an sole proprietor health care provider with primary practice located at 1364 Rosa Parks Dr , Cleveland OH 44106-1414. She recently has only one registered license in Other Service Providers / Home Modifications, which is considered as her primary health care specialty. Moore, Shenarra Nicole can be contacted via phone (216) 761-7142.

Contact Information

Primary practice address
1364 Rosa Parks Dr Cleveland OH 44106-1414
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X RN440100 Ohio

Profile Details

NPI number 1306057278
LBN Legal business name Moore, Shenarra Nicole
Credentials HOME HEALTH CARE PRO
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306057278 NPPES
Ohio MEDICAID 2723780

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