Moore, Jason Edward

Moore, Jason Edward is an individual health care provider with primary practice located at 1900 Lake Tahoe Blvd , South Lake Tahoe CA 96150-6305. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Moore, Jason Edward can be contacted via phone (530) 573-7970.

Contact Information

Primary practice address
1900 Lake Tahoe Blvd South Lake Tahoe CA 96150-6305
Phone: (530) 573-7970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1043979479
LBN Legal business name Moore, Jason Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2021
Last updated Jun 24th, 2024 - about 5 months 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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