Moore, Breanna
Moore, Breanna is an sole proprietor health care provider with primary practice located at 5851 Rural Edge Dr , Roscoe IL 61073-7994. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Moore, Breanna can be contacted via phone (815) 669-9491.Contact Information
Primary practice address
5851 Rural Edge Dr
Roscoe IL 61073-7994
Phone: (815) 669-9491
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 242.003762 | Illinois |
Profile Details
| NPI number | 1033567078 |
|---|---|
| LBN Legal business name | Moore, Breanna |
| Credentials | M.S. SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2016 |
| Last updated | Jun 1st, 2016 - about 10 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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