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
Phone: (206) 320-2600
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053376350 | NPPES |
Washington | MEDICAID | 1111038 | |
Washington | Other | 130982 |
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