Moore, Jake T

Moore, Jake T is an sole proprietor health care provider with primary practice located at 1180 N Main St Ste 5 , Bowling Green OH 43402-4932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Jake T can be contacted via phone (419) 315-1225.

Contact Information

Primary practice address
1180 N Main St Ste 5 Bowling Green OH 43402-4932
Fax: (419) 315-1226
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101022457 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.014671 Ohio

Profile Details

NPI number 1730537887
LBN Legal business name Moore, Jake T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2016
Last updated Nov 3rd, 2023 - about 2 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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