Moore, Michael Shane

Moore, Michael Shane is an sole proprietor health care provider with primary practice located at 2757 Vandy Ct , Montgomery AL 36110-1339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Moore, Michael Shane can be contacted via phone (334) 669-1430.

Contact Information

Primary practice address
2757 Vandy Ct Montgomery AL 36110-1339
Phone: (334) 669-1430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PTA9712 Alabama

Profile Details

NPI number 1972115582
LBN Legal business name Moore, Michael Shane
Credentials LPTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2020
Last updated Aug 17th, 2020 - about 6 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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