Barry, Jonathan Moore

Barry, Jonathan Moore is an individual health care provider with primary practice located at 61 Medford St , Somerville MA 02143-3421. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Barry, Jonathan Moore can be contacted via phone (617) 629-3919.

Contact Information

Primary practice address
61 Medford St Somerville MA 02143-3421
Phone: (617) 629-3919
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1437486404
LBN Legal business name Barry, Jonathan Moore
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2009
Last updated Sep 30th, 2010 - about 15 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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