Moore, Emory W
Moore, Emory W is an individual health care provider with primary practice located at 4481 Corrales Rd Ste 9 , Corrales NM 87048-8615. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Moore, Emory W can be contacted via phone (505) 554-9099.Contact Information
Primary practice address
4481 Corrales Rd Ste 9
Corrales NM 87048-8615
Phone: (505) 554-9099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 121711 | New Mexico |
Profile Details
| NPI number | 1689757650 |
|---|---|
| LBN Legal business name | Moore, Emory W |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Aug 16th, 2017 - about 9 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 | 1689757650 | NPPES |
| New Mexico | MEDICAID | 83276319 |
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