Moore, Jane Ann
Moore, Jane Ann is an individual health care provider with primary practice located at 6002 Westgate Blvd Suite 160, Tacoma WA 98406-2571. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Moore, Jane Ann can be contacted via phone (253) 759-9902.Contact Information
Primary practice address
6002 Westgate Blvd Suite 160
Tacoma WA 98406-2571
Phone: (253) 759-9902
Fax: (253) 759-5504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD00020608 | Washington |
Profile Details
| NPI number | 1710936208 |
|---|---|
| LBN Legal business name | Moore, Jane Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 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 | 1710936208 | NPPES |
| Washington | MEDICAID | 1105436 | |
| Washington | Other | M07731 |
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