Moore, Christy Marie
Moore, Christy Marie is an individual health care provider with primary practice located at 1100 9Th Ave , Seattle WA 98101-2756. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Moore, Christy Marie can be contacted via phone (206) 223-6831.Contact Information
Primary practice address
1100 9Th Ave
Seattle WA 98101-2756
Phone: (206) 223-6831
Fax: (206) 625-7259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10005270 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | TA10005270 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA10005270 | Washington |
Profile Details
| NPI number | 1689869703 |
|---|---|
| LBN Legal business name | Moore, Christy Marie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2007 |
| Last updated | Oct 13th, 2022 - about 4 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 | 1689869703 | NPPES |
| Washington | Other | 7471MO | BLUE SHIELD # |
| Washington | MEDICAID | 8502692 | BLUE SHIELD # |
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