Moo, Jeffrey Bard

Moo, Jeffrey Bard is an sole proprietor health care provider with primary practice located at 1600 E Jefferson St Suite 600, Seattle WA 98122-5698. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Moo, Jeffrey Bard can be contacted via phone (206) 320-2600.

Contact Information

Primary practice address
1600 E Jefferson St Suite 600 Seattle WA 98122-5698
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 27908 Washington

Profile Details

NPI number 1053376350
LBN Legal business name Moo, Jeffrey Bard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated May 6th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053376350 NPPES
Washington MEDICAID 1111038
Washington Other 130982

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