Moore, Matthew J
Moore, Matthew J is an individual health care provider with primary practice located at 520 Valley View Dr Ste 200 , Moline IL 61265-6152. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Moore, Matthew J can be contacted via phone (309) 797-0866.Contact Information
Primary practice address
520 Valley View Dr Ste 200
Moline IL 61265-6152
Phone: (309) 797-0866
Fax: (309) 797-0872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-012189 | Illinois |
Profile Details
| NPI number | 1376590836 |
|---|---|
| LBN Legal business name | Moore, Matthew J |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Apr 12th, 2012 - about 13 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 | 1376590836 | NPPES |
| Illinois | Other | 070-012189 | ILLINOIS PT LICENSE NO |
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