Moore, James David
Moore, James David is an individual health care provider with primary practice located at 603 Monroe St , Dover OH 44622-2046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, James David can be contacted via phone (330) 364-8889.Contact Information
Primary practice address
603 Monroe St
Dover OH 44622-2046
Phone: (330) 364-8889
Fax: (330) 343-7505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 61813 | Ohio |
Profile Details
| NPI number | 1770590630 |
|---|---|
| LBN Legal business name | Moore, James David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1770590630 | NPPES |
| Ohio | MEDICAID | 0856131 |
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