Moore, Taneisha
Moore, Taneisha is an individual health care provider with primary practice located at 2829 W 87Th St , Evergreen Park IL 60805-1135. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Moore, Taneisha can be contacted via phone (773) 370-3726.Contact Information
Primary practice address
2829 W 87Th St
Evergreen Park IL 60805-1135
Phone: (773) 370-3726
Fax: (773) 352-9492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X |
Profile Details
| NPI number | 1952032633 |
|---|---|
| LBN Legal business name | Moore, Taneisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2022 |
| Last updated | Jun 23rd, 2022 - about 2 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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