Moore, Rebecca Ruth

Moore, Rebecca Ruth is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Moore, Rebecca Ruth can be contacted via phone (800) 653-6568.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (800) 653-6568
Fax: (313) 876-1305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4703110355 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 4704301129 Michigan

Profile Details

NPI number 1043610033
LBN Legal business name Moore, Rebecca Ruth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2014
Last updated Nov 30th, 2022 - about 4 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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