Moore, James R

Moore, James R is an individual health care provider with primary practice located at 29 Nespelem/Sanpoil St , Nespelem WA 99155-0071. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Technologist, which is considered as his primary health care specialty. Moore, James R can be contacted via phone (509) 634-2900.

Contact Information

Primary practice address
29 Nespelem/Sanpoil St Nespelem WA 99155-0071
Phone: (509) 634-2900
Fax: (509) 634-2945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X Washington

Profile Details

NPI number 1326122540
LBN Legal business name Moore, James R
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326122540 NPPES
Washington MEDICAID 7100100

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