Moore, Samuel B

Moore, Samuel B is an sole proprietor health care provider with primary practice located at 4337 Drew Ave N , Robbinsdale MN 55422. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Moore, Samuel B can be contacted via phone (651) 373-9286.

Contact Information

Primary practice address
4337 Drew Ave N Robbinsdale MN 55422
Phone: (651) 373-9286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2403 Minnesota

Profile Details

NPI number 1346594793
LBN Legal business name Moore, Samuel B
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2012
Last updated Nov 7th, 2012 - 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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