Moore, Tinja Camilla
Moore, Tinja Camilla is an individual health care provider with primary practice located at 2647 N Holton St , Milwaukee WI 53212-2928. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Moore, Tinja Camilla can be contacted via phone (414) 265-5113.Contact Information
Primary practice address
2647 N Holton St
Milwaukee WI 53212-2928
Phone: (414) 265-5113
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | Wisconsin |
Profile Details
| NPI number | 1861450355 |
|---|---|
| LBN Legal business name | Moore, Tinja Camilla |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1861450355 | NPPES |
| Wisconsin | MEDICAID | 39991300 |
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