Moore, Lisa Ann

Moore, Lisa Ann is an individual health care provider with primary practice located at 306-A High Street , Greenfield MA 01301. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moore, Lisa Ann can be contacted via phone (413) 773-3379.

Contact Information

Primary practice address
306-A High Street Greenfield MA 01301
Fax: (413) 772-2705
Website:

Health care specialties

Profile Details

NPI number 1790877686
LBN Legal business name Moore, Lisa Ann
Credentials M.S.P.T., OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Feb 1st, 2021 - about 5 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 1790877686 NPPES
Massachusetts MEDICAID 0396460
Massachusetts Other 470239
Massachusetts Other Y68106
Massachusetts Other 1294660

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