Moyer, Jessy
Moyer, Jessy is an individual health care provider with primary practice located at 1443 Hartford Ave , Johnston RI 02919-3224. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Moyer, Jessy can be contacted via phone (401) 273-8100.Contact Information
Primary practice address
1443 Hartford Ave
Johnston RI 02919-3224
Phone: (401) 273-8100
Fax: (401) 861-8696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDP000431 | Rhode Island |
Profile Details
| NPI number | 1730337585 |
|---|---|
| LBN Legal business name | Moyer, Jessy |
| Credentials | LCDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2008 |
| Last updated | Sep 5th, 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 | 1730337585 | NPPES |
| Rhode Island | MEDICAID | GH57134 |
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