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Contact Information

MICHAEL L MOORE SR, B.A., M.S.
665 ROTUNDA WAY
BRENTWOOD, CA94513-5534
 Phone: 925-450-8182
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for MICHAEL L MOORE SR · (Male)

NPI # 1194519207
Status Active
Credentials B.A., M.S.
Entity Individual
Enumeration date 04/05/2025
Last updated 04/05/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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