Moore, Emily

Moore, Emily is an individual health care provider with primary practice located at 465 Mckenna Dr , Mountain Home ID 83647-2143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Moore, Emily can be contacted via phone (208) 587-9703.

Contact Information

Primary practice address
465 Mckenna Dr Mountain Home ID 83647-2143
Phone: (208) 587-9703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000 Idaho

Profile Details

NPI number 1891197570
LBN Legal business name Moore, Emily
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2014
Last updated Sep 24th, 2014 - about 11 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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