Moore, John Micheal

Moore, John Micheal is an sole proprietor health care provider with primary practice located at 15 Bayview Ave , East Islip NY 11730-2401. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moore, John Micheal can be contacted via phone (631) 581-2542.

Contact Information

Primary practice address
15 Bayview Ave East Islip NY 11730-2401
Phone: (631) 581-2542
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R042827-1 New York

Profile Details

NPI number 1154635076
LBN Legal business name Moore, John Micheal
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2010
Last updated Aug 3rd, 2010 - about 16 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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