Moore, Terrance R
Moore, Terrance R is an individual health care provider with primary practice located at 2255 S 132Nd St Suite 200, Omaha NE 68144-2573. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moore, Terrance R can be contacted via phone (402) 334-1122.Contact Information
Primary practice address
2255 S 132Nd St Suite 200
Omaha NE 68144-2573
Phone: (402) 334-1122
Fax: (402) 334-8171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 31 | Nebraska |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 24 | Nebraska |
Profile Details
| NPI number | 1518950450 |
|---|---|
| LBN Legal business name | Moore, Terrance R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 23rd, 2010 - about 14 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 | 1518950450 | NPPES |
| Nebraska | MEDICAID | 47076860626 |
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