Moore, James Bryan

Moore, James Bryan is an individual health care provider with primary practice located at 2700 Dolbeer Ave , Eureka CA 95501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Moore, James Bryan can be contacted via phone (707) 445-5431.

Contact Information

Primary practice address
2700 Dolbeer Ave Eureka CA 95501
Phone: (707) 445-5431
Fax: (707) 445-3710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD425429 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A45979 California

Profile Details

NPI number 1194795849
LBN Legal business name Moore, James Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Oct 22nd, 2011 - about 13 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 1194795849 NPPES
Pennsylvania MEDICAID 101227147

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