Moore, Shaela

Moore, Shaela is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore, Shaela can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Phone: (801) 625-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9784905-3502 Utah

Profile Details

NPI number 1659753721
LBN Legal business name Moore, Shaela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2015
Last updated Dec 17th, 2018 - about 8 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 1659753721 NPPES
Utah Other 260022408 RAILROAD MEDICARE
Utah MEDICAID 876000308007 RAILROAD MEDICARE

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