Moura, Alessandra Macedo De
Moura, Alessandra Macedo De is an individual health care provider with primary practice located at 23077 Greenfield Rd Ste 110 , Southfield MI 48075-3744. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moura, Alessandra Macedo De can be contacted via phone (248) 569-3002.Contact Information
Primary practice address
23077 Greenfield Rd Ste 110
Southfield MI 48075-3744
Phone: (248) 569-3002
Fax: (248) 569-3008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501013812 | Michigan |
Profile Details
| NPI number | 1134395676 |
|---|---|
| LBN Legal business name | Moura, Alessandra Macedo De |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | Dec 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134395676 | NPPES |
| Michigan | Other | 650F30621 | BLUE CROSS/BLUE SHIELD OF MICHIGAN |
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