Moore, Tachico Lanee

Moore, Tachico Lanee is an individual health care provider with primary practice located at 2925 Russell St , Detroit MI 48207-4825. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Moore, Tachico Lanee can be contacted via phone (313) 695-4560.

Contact Information

Primary practice address
2925 Russell St Detroit MI 48207-4825
Phone: (313) 695-4560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1770823825
LBN Legal business name Moore, Tachico Lanee
Credentials S.S.T
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2013
Last updated Feb 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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