Moore, Stacia Adair

Moore, Stacia Adair is an individual health care provider with primary practice located at 10 Three Mile Dr , Kalispell MT 59901-3034. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Moore, Stacia Adair can be contacted via phone (406) 257-2273.

Contact Information

Primary practice address
10 Three Mile Dr Kalispell MT 59901-3034
Phone: (406) 257-2273
Fax: (406) 257-7755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU795 Montana

Profile Details

NPI number 1851394902
LBN Legal business name Moore, Stacia Adair
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 20th, 2011 - about 13 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 1851394902 NPPES
Montana MEDICAID 0561629
Montana MEDICAID 0533851
Montana Other 290408

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