Moore, Courtney
Moore, Courtney is an individual health care provider with primary practice located at 2055 Garrett Way Ste 2, Pocatello ID 83201-5100. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Courtney can be contacted via phone (208) 233-7832.Contact Information
Primary practice address
2055 Garrett Way Ste 2
Pocatello ID 83201-5100
Phone: (208) 233-7832
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1003178559 |
|---|---|
| LBN Legal business name | Moore, Courtney |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2012 |
| Last updated | Jun 11th, 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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