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
Phone: (413) 773-3379
Fax: (413) 772-2705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9804 | Massachusetts |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790877686 | NPPES |
| Massachusetts | MEDICAID | 0396460 | |
| Massachusetts | Other | 470239 | |
| Massachusetts | Other | Y68106 | |
| Massachusetts | Other | 1294660 |
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