Moore, Patrick Michael

Moore, Patrick Michael is an individual health care provider with primary practice located at 1700 E 38Th St , Marion IN 46953-4568. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Moore, Patrick Michael can be contacted via phone (765) 674-3321.

Contact Information

Primary practice address
1700 E 38Th St Marion IN 46953-4568
Phone: (765) 674-3321
Fax: (765) 677-5115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34001741 Indiana

Profile Details

NPI number 1518022458
LBN Legal business name Moore, Patrick Michael
Credentials ACSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Mar 27th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518022458 NPPES
Indiana Other 000000328198 BCBS

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