Moore, Karen Jo

Moore, Karen Jo is an sole proprietor health care provider with primary practice located at 4243 Sunshine Ave , Indianapolis IN 46228-2727. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moore, Karen Jo can be contacted via phone (317) 299-0291.

Contact Information

Primary practice address
4243 Sunshine Ave Indianapolis IN 46228-2727
Phone: (317) 299-0291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1801012422
LBN Legal business name Moore, Karen Jo
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jun 18th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801012422 NPPES
Indiana MEDICAID 200883840

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