Moore, Theresa Lynn
Moore, Theresa Lynn is an sole proprietor health care provider with primary practice located at 7398 Lime Kiln Rd , Wayland NY 14572-9213. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Moore, Theresa Lynn can be contacted via phone (585) 519-2216.Contact Information
Primary practice address
7398 Lime Kiln Rd
Wayland NY 14572-9213
Phone: (585) 519-2216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 271025 | New York |
Profile Details
| NPI number | 1477844769 |
|---|---|
| LBN Legal business name | Moore, Theresa Lynn |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2011 |
| Last updated | Apr 21st, 2011 - about 13 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 | 1477844769 | NPPES |
| New York | MEDICAID | 271025 |
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