Moore, Iris Jean
Moore, Iris Jean is an individual health care provider with primary practice located at 8005 Farnam Dr Suite 204, Omaha NE 68114-3426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Moore, Iris Jean can be contacted via phone (402) 502-6970.Contact Information
Primary practice address
8005 Farnam Dr Suite 204
Omaha NE 68114-3426
Phone: (402) 502-6970
Fax: (402) 502-6930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 15436 | Nebraska |
Profile Details
| NPI number | 1265413389 |
|---|---|
| LBN Legal business name | Moore, Iris Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Nov 27th, 2007 - about 18 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 | 1265413389 | NPPES |
| Nebraska | MEDICAID | 42154126400 |
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