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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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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