Moore, Tony Curtis
Moore, Tony Curtis is an individual health care provider with primary practice located at 6723 17Th Ave , Kenosha WI 53143-4914. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Moore, Tony Curtis can be contacted via phone (262) 605-8442.Contact Information
Primary practice address
6723 17Th Ave
Kenosha WI 53143-4914
Phone: (262) 605-8442
Fax: (262) 605-8460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 10820-132 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13313-135 | Wisconsin |
Profile Details
| NPI number | 1689840332 |
|---|---|
| LBN Legal business name | Moore, Tony Curtis |
| Credentials | CADC,CCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2008 |
| Last updated | May 2nd, 2008 - 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.
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