Moody, Jeffrey A

Moody, Jeffrey A is an individual health care provider with primary practice located at 6071 E Woodmen Rd Suite 300, Colorado Springs CO 80923-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Moody, Jeffrey A can be contacted via phone (719) 531-7007.

Contact Information

Primary practice address
6071 E Woodmen Rd Suite 300 Colorado Springs CO 80923-2607
Phone: (719) 531-7007
Fax: (719) 531-7122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 37666 Colorado

Profile Details

NPI number 1629013628
LBN Legal business name Moody, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jan 25th, 2012 - about 12 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 1629013628 NPPES
Colorado MEDICAID 19237278
Colorado Other 340018577

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