Moore, Heather Mae
Moore, Heather Mae is an individual health care provider with primary practice located at 620 W Edison Rd Ste 122 , Mishawaka IN 46545-2784. She recently has only one registered license in Nursing Service Providers / Hospice, which is considered as her primary health care specialty. Moore, Heather Mae can be contacted via phone (574) 855-4475.Contact Information
Primary practice address
620 W Edison Rd Ste 122
Mishawaka IN 46545-2784
Phone: (574) 855-4475
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Hospice | 163WH1000X | 28272283A | Indiana |
Profile Details
| NPI number | 1457001281 |
|---|---|
| LBN Legal business name | Moore, Heather Mae |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2022 |
| Last updated | Mar 25th, 2022 - about 4 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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