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Contact Information

BOBBY MOORE
4837 MASON DIXON HIGHWAY
PENTRESS, WV26544
 Phone: 304-290-7317
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for BOBBY MOORE · (Male)

NPI # 1053117531
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2025
Last updated 02/24/2025 - 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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