Moore, Tracy L

Moore, Tracy L is an individual health care provider with primary practice located at 425 W 5Th St , East Liverpool OH 43920-2405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Moore, Tracy L can be contacted via phone (330) 385-7200.

Contact Information

Primary practice address
425 W 5Th St East Liverpool OH 43920-2405
Phone: (330) 385-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN-268393 Ohio

Profile Details

NPI number 1194826214
LBN Legal business name Moore, Tracy L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Nov 8th, 2023 - about 2 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 1194826214 NPPES
Ohio Other 000000357295 ANTHEM
Ohio MEDICAID 2290462 ANTHEM
Ohio Other 8233342 ANTHEM
Ohio MEDICAID 2603084000 ANTHEM

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