Moore, Ian Joseph

Moore, Ian Joseph is an individual health care provider with primary practice located at 1911 Hazel Ave , Medford OR 97501. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Specialist is his primary health care specialty. Moore, Ian Joseph can be contacted via phone (541) 734-3951.

Contact Information

Primary practice address
1911 Hazel Ave Medford OR 97501
Phone: (541) 734-3951
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1861762809
LBN Legal business name Moore, Ian Joseph
Credentials PEER SUPPORT SPECIAL
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2012
Last updated Jan 9th, 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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