Moore, David Isaac

Moore, David Isaac is an individual health care provider with primary practice located at 309 E Main St , Pickens SC 29671-2319. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Moore, David Isaac can be contacted via phone (864) 898-5800.

Contact Information

Primary practice address
309 E Main St Pickens SC 29671-2319
Phone: (864) 898-5800
Fax: (864) 898-5804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1023502085
LBN Legal business name Moore, David Isaac
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2018
Last updated Jul 6th, 2020 - about 5 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 1023502085 NPPES
Oregon MEDICAID 122994

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