Moore, Chadd Jason

Moore, Chadd Jason is an individual health care provider with primary practice located at 100 Hospital Dr , Hendersonville NC 28792-5272. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Moore, Chadd Jason can be contacted via phone (828) 681-2420.

Contact Information

Primary practice address
100 Hospital Dr Hendersonville NC 28792-5272
Phone: (828) 681-2420
Fax: (828) 687-0729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 70304 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 11099 Tennessee

Profile Details

NPI number 1780628180
LBN Legal business name Moore, Chadd Jason
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Apr 4th, 2017 - about 7 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 1780628180 NPPES
Tennessee MEDICAID 3629899
Tennessee Other 181WM
Tennessee Other 74010612
Tennessee Other 4081901
Tennessee Other P00162074
Tennessee Other P01263433
Tennessee Other 10069833

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