Moyerman, David Robert
Moyerman, David Robert is an sole proprietor health care provider with primary practice located at 1300 Ridenour Blvd Nw , Kennesaw GA 30152-4501. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Moyerman, David Robert can be contacted via phone (470) 955-2888.Contact Information
Primary practice address
1300 Ridenour Blvd Nw
Kennesaw GA 30152-4501
Phone: (470) 955-2888
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1531 | Georgia |
Profile Details
NPI number | 1629061338 |
---|---|
LBN Legal business name | Moyerman, David Robert |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 27th, 2005 |
Last updated | Apr 1st, 2024 - about 5 months 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 | 1629061338 | NPPES |
Georgia | MEDICAID | 00683009A |
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