Moore, Connie Jo

Moore, Connie Jo is an individual health care provider with primary practice located at 1717 W. Cowles Street , Fairbanks AK 99701. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Moore, Connie Jo can be contacted via phone (907) 451-6682.

Contact Information

Primary practice address
1717 W. Cowles Street Fairbanks AK 99701
Phone: (907) 451-6682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 22219 Alaska

Profile Details

NPI number 1942563663
LBN Legal business name Moore, Connie Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated Nov 28th, 2012 - about 14 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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