Moe, Jacob Layne
Moe, Jacob Layne is an individual health care provider with primary practice located at 32255 Northwestern Hwy Ste 214 , Farmington Hills MI 48334. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Moe, Jacob Layne can be contacted via phone (248) 855-5620.Contact Information
Primary practice address
32255 Northwestern Hwy Ste 214
Farmington Hills MI 48334
Phone: (248) 855-5620
Fax: (248) 855-5628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101019711 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5315054293 | Michigan |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 5101019711 | Michigan |
Profile Details
| NPI number | 1043574478 |
|---|---|
| LBN Legal business name | Moe, Jacob Layne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2012 |
| Last updated | Dec 6th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043574478 | NPPES |
| Michigan | MEDICAID | 1043574478 | |
| Michigan | Other | MI4989641 |
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