Moore, James Leroy
Moore, James Leroy is an individual health care provider with primary practice located at 5010 Wood Shire Dr , Columbia MO 65202-6654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Moore, James Leroy can be contacted via phone (816) 674-5528.Contact Information
Primary practice address
5010 Wood Shire Dr
Columbia MO 65202-6654
Phone: (816) 674-5528
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 113646 | Missouri |
Profile Details
NPI number | 1649835521 |
---|---|
LBN Legal business name | Moore, James Leroy |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 6th, 2019 |
Last updated | May 6th, 2019 - about 6 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 | 1649835521 | NPPES |
Missouri | Other | 113646 | ATHLETIC TRAINER |
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