Moore, Lori S.
Moore, Lori S. is an sole proprietor health care provider with primary practice located at 404 Old Main Dr , Summersville WV 26651-1360. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Moore, Lori S. can be contacted via phone (304) 872-6440.Contact Information
Primary practice address
404 Old Main Dr
Summersville WV 26651-1360
Phone: (304) 872-6440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-0495 | West Virginia |
Profile Details
| NPI number | 1770770760 |
|---|---|
| LBN Legal business name | Moore, Lori S. |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2007 |
| Last updated | Oct 3rd, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770770760 | NPPES |
| West Virginia | MEDICAID | 0154297000 |
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