Moore, Carla

Moore, Carla is an sole proprietor health care provider with primary practice located at 52 Treehouse Rd , Matteson IL 60443-1262. 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, Carla can be contacted via phone (708) 748-5901.

Contact Information

Primary practice address
52 Treehouse Rd Matteson IL 60443-1262
Phone: (708) 748-5901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146006348 Illinois

Profile Details

NPI number 1306183728
LBN Legal business name Moore, Carla
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2013
Last updated Jan 4th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306183728 NPPES
Illinois Other 146006348 DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION DIVISION OF PROFESSIONAL REG
Illinois Other 82922 DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION DIVISION OF PROFESSIONAL REG

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