Moore, Shenell
Moore, Shenell is an sole proprietor health care provider with primary practice located at 225 Gostlin St , Hammond IN 46327-1302. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as her primary health care specialty. Moore, Shenell can be contacted via phone (708) 953-2575.Contact Information
Primary practice address
225 Gostlin St
Hammond IN 46327-1302
Phone: (708) 953-2575
Fax: (219) 289-9108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Medical Technologist | 246QM0706X | 2811784 | Illinois |
Profile Details
| NPI number | 1215545363 |
|---|---|
| LBN Legal business name | Moore, Shenell |
| Credentials | RMA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2020 |
| Last updated | Jul 15th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215545363 | NPPES |
| Indiana | Other | 202006291401707 | HOME HEALTH |
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