Moore, Melissa Ann
Moore, Melissa Ann is an individual health care provider with primary practice located at 231 Granite Run Dr , Lancaster PA 17601-6823. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Moore, Melissa Ann can be contacted via phone (717) 560-4200.Contact Information
Primary practice address
231 Granite Run Dr
Lancaster PA 17601-6823
Phone: (717) 560-4200
Fax: (717) 560-6380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT007638L | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-007638-L | Pennsylvania |
Profile Details
| NPI number | 1225014962 |
|---|---|
| LBN Legal business name | Moore, Melissa Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Dec 3rd, 2008 - 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 | 1225014962 | NPPES |
| Pennsylvania | Other | 1659162 | HIGH MARK BLUE SHIELD |
| Pennsylvania | Other | 50048578 | HIGH MARK BLUE SHIELD |
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