Moe, Jennifer R

Moe, Jennifer R is an individual health care provider with primary practice located at 3449 E Rezanof Dr , Kodiak AK 99615-6952. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Moe, Jennifer R can be contacted via phone (907) 486-9870.

Contact Information

Primary practice address
3449 E Rezanof Dr Kodiak AK 99615-6952
Fax: (907) 486-9898
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 02537 Alaska

Profile Details

NPI number 1760643621
LBN Legal business name Moe, Jennifer R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Jun 23rd, 2008 - about 17 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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