Moore, Mark Tyler
Moore, Mark Tyler is an sole proprietor health care provider with primary practice located at 700 Lawrence Expy , Santa Clara CA 95051-5173. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Moore, Mark Tyler can be contacted via phone (423) 360-3883.Contact Information
Primary practice address
700 Lawrence Expy
Santa Clara CA 95051-5173
Phone: (423) 360-3883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 3334 | California |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 9806481-4101 | Utah |
Profile Details
| NPI number | 1487002689 |
|---|---|
| LBN Legal business name | Moore, Mark Tyler |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2016 |
| Last updated | Feb 11th, 2022 - about 4 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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