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Contact Information

STEPHANIE R MOORE, AUD
4100 SE ADAMS RD
STE C106
BARTLESVILLE, OK74006-8437
 Phone: 918-333-9992
 Fax: 918-333-9996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Audiologist-Hearing Aid Fitter

237600000X
Indicates primary specialty

NPI Profile & details for STEPHANIE R MOORE · (Female)

NPI # 1205941804
Status Active
Credentials AUD
Entity Individual
Enumeration date 08/21/2006
Last updated 01/18/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 190
  • TX License # 81697
  • OK Medicaid 100664230A
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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