Moore, Antranette
Moore, Antranette is an individual health care provider with primary practice located at 2626 E 46Th St , Indianapolis IN 46205-2380. 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. Moore, Antranette can be contacted via phone (317) 475-9066.Contact Information
Primary practice address
2626 E 46Th St
Indianapolis IN 46205-2380
Phone: (317) 475-9066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1306206016 |
|---|---|
| LBN Legal business name | Moore, Antranette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2016 |
| Last updated | Feb 24th, 2016 - about 9 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 | 1306206016 | NPPES |
| Indiana | MEDICAID | 351866298 |
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