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Contact Information

ZACHARY A MOORE, RN
7139 N SPRINGBORO PIKE
WEST CARROLLTON, OH45449-3605
 Phone: 937-844-7362
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for ZACHARY A MOORE · (Male)

NPI # 1649814021
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/29/2019
Last updated 04/04/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # LPN.163919.MEDS-IV
  • OH License # RN.488740
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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