Moore, Willie

Moore, Willie is an individual health care provider with primary practice located at 1027 Alabama St , Vallejo CA 94590-4511. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Moore, Willie can be contacted via phone (707) 558-1600.

Contact Information

Primary practice address
1027 Alabama St Vallejo CA 94590-4511
Fax: (707) 558-1606
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1710048913
LBN Legal business name Moore, Willie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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