Moore, Octavia

Moore, Octavia is an sole proprietor health care provider with primary practice located at 4998 Derby Rd , Dayton OH 45417-6257. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Moore, Octavia can be contacted via phone (937) 520-0224.

Contact Information

Primary practice address
4998 Derby Rd Dayton OH 45417-6257
Phone: (937) 520-0224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 378445420999 Ohio

Profile Details

NPI number 1487077608
LBN Legal business name Moore, Octavia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2014
Last updated Jan 23rd, 2014 - about 12 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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