Moore, Tanisha

Moore, Tanisha is an sole proprietor health care provider with primary practice located at 311A Ridge Rd Apt 113 , Wilmette IL 60091-3256. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Moore, Tanisha can be contacted via phone (267) 505-6106.

Contact Information

Primary practice address
311A Ridge Rd Apt 113 Wilmette IL 60091-3256
Phone: (267) 505-6106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1558069542
LBN Legal business name Moore, Tanisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2023
Last updated Feb 20th, 2023 - 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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