Moore, Lisa

Moore, Lisa is an sole proprietor health care provider with primary practice located at 2765 Bramblebush Ct , Columbus OH 43224-2505. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Moore, Lisa can be contacted via phone (614) 493-1301.

Contact Information

Primary practice address
2765 Bramblebush Ct Columbus OH 43224-2505
Phone: (614) 493-1301
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 400844851208 Ohio

Profile Details

NPI number 1700292190
LBN Legal business name Moore, Lisa
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2014
Last updated Jul 7th, 2014 - about 12 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 1700292190 NPPES
Ohio MEDICAID 2810962

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