Moore, Stanley Gardner
Moore, Stanley Gardner is an sole proprietor health care provider with primary practice located at 9118 Park Grove St , Huntersville NC 28078-5517. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moore, Stanley Gardner can be contacted via phone (704) 948-9344.Contact Information
Primary practice address
9118 Park Grove St
Huntersville NC 28078-5517
Phone: (704) 948-9344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C003581 | North Carolina |
Profile Details
| NPI number | 1831241249 |
|---|---|
| LBN Legal business name | Moore, Stanley Gardner |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831241249 | NPPES |
| North Carolina | MEDICAID | 6106241 |
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