Moore, Debra Ann
Moore, Debra Ann is an sole proprietor health care provider with primary practice located at 269 West Vincennes St , Linton IN 47441. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Moore, Debra Ann can be contacted via phone (812) 847-9998.Contact Information
Primary practice address
269 West Vincennes St
Linton IN 47441
Phone: (812) 847-9998
Fax: (630) 463-5277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1043379449 |
|---|---|
| LBN Legal business name | Moore, Debra Ann |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 1st, 2008 - about 17 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 | 1043379449 | NPPES |
| Indiana | MEDICAID | 200295430A |
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