Moore, Elizabeth Kruser
Moore, Elizabeth Kruser is an individual health care provider with primary practice located at 8520 W Oklahoma Ave , West Allis WI 53227-4604. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moore, Elizabeth Kruser can be contacted via phone (414) 607-4120.Contact Information
Primary practice address
8520 W Oklahoma Ave
West Allis WI 53227-4604
Phone: (414) 607-4120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10458-024 | Wisconsin |
Profile Details
| NPI number | 1194999128 |
|---|---|
| LBN Legal business name | Moore, Elizabeth Kruser |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Apr 23rd, 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 | 1194999128 | NPPES |
| Wisconsin | Other | 10458-024 | PHYSICAL THERAPIST LICENSE |
| Wisconsin | MEDICAID | 40464600 | PHYSICAL THERAPIST LICENSE |
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