Moore, Stanley
Moore, Stanley is an individual health care provider with primary practice located at 1921 Ransom Place , Antioch TN 37013. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Moore, Stanley can be contacted via phone (615) 586-9155.Contact Information
Primary practice address
1921 Ransom Place
Antioch TN 37013
Phone: (615) 586-9155
Fax: (615) 586-9155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1659505683 |
|---|---|
| LBN Legal business name | Moore, Stanley |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2009 |
| Last updated | Jan 31st, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659505683 | NPPES |
| Kentucky | MEDICAID | 30604011 |
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