Moore, Jason Wayne
Moore, Jason Wayne is an individual health care provider with primary practice located at 3047 William St Suite 100, Cape Girardeau MO 63703-6393. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Moore, Jason Wayne can be contacted via phone (573) 339-5989.Contact Information
Primary practice address
3047 William St Suite 100
Cape Girardeau MO 63703-6393
Phone: (573) 339-5989
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2009029675 | Missouri |
Profile Details
| NPI number | 1740511716 |
|---|---|
| LBN Legal business name | Moore, Jason Wayne |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2010 |
| Last updated | Jan 14th, 2010 - about 14 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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