Moore, Michelle K
Moore, Michelle K is an individual health care provider with primary practice located at 4179 Westbrook Dr , Cleveland OH 44144-1234. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Moore, Michelle K can be contacted via phone (216) 406-8979.Contact Information
Primary practice address
4179 Westbrook Dr
Cleveland OH 44144-1234
Phone: (216) 406-8979
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | Ohio |
Profile Details
| NPI number | 1619501020 |
|---|---|
| LBN Legal business name | Moore, Michelle K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2020 |
| Last updated | Feb 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619501020 | NPPES |
| Ohio | MEDICAID | SL601708 |
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