Moore, Michelle Elizabeth
Moore, Michelle Elizabeth is an individual health care provider with primary practice located at 683 Broad St , Bristol CT 06010-6662. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Moore, Michelle Elizabeth can be contacted via phone (860) 583-2020.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | CT2482 | Connecticut |
Profile Details
| NPI number | 1194795971 |
|---|---|
| LBN Legal business name | Moore, Michelle Elizabeth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Dec 7th, 2007 - about 19 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 | 1194795971 | NPPES |
| Connecticut | Other | 906456 | BLOCK VISION |
| Connecticut | Other | 0V5039 | BLOCK VISION |
| Connecticut | Other | 599721 | BLOCK VISION |
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