Moore, Susan Renee

Moore, Susan Renee is an sole proprietor health care provider with primary practice located at 9030 Monticello Rd , Wesson MS 39191-9027. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moore, Susan Renee can be contacted via phone (601) 668-2932.

Contact Information

Primary practice address
9030 Monticello Rd Wesson MS 39191-9027
Phone: (601) 668-2932
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AT0476 Mississippi

Profile Details

NPI number 1881903896
LBN Legal business name Moore, Susan Renee
Credentials ATC, MS, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2010
Last updated Sep 26th, 2010 - about 16 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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