Moore, Stacy Renee

Moore, Stacy Renee is an individual health care provider with primary practice located at 20370 Elm St , Harrah OK 73045-9110. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Moore, Stacy Renee can be contacted via phone (405) 347-2109.

Contact Information

Primary practice address
20370 Elm St Harrah OK 73045-9110
Phone: (405) 347-2109
Fax: (405) 454-6842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 427 Oklahoma

Profile Details

NPI number 1205956430
LBN Legal business name Moore, Stacy Renee
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Aug 15th, 2014 - about 10 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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