Moorehead, Nicholas R

Moorehead, Nicholas R is an individual health care provider with primary practice located at 2630 Central Ave # 3349 , Eielson Afb AK 99702-2301. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Moorehead, Nicholas R can be contacted via phone (907) 377-3071.

Contact Information

Primary practice address
2630 Central Ave # 3349 Eielson Afb AK 99702-2301
Phone: (907) 377-3071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810008333 Virginia

Profile Details

NPI number 1417694159
LBN Legal business name Moorehead, Nicholas R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2022
Last updated Oct 23rd, 2023 - about 2 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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