Moore, Jason Wayne

Moore, Jason Wayne is an individual health care provider with primary practice located at 2021 Columbus Ave , Washington Court House OH 43160-9094. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Moore, Jason Wayne can be contacted via phone (740) 333-7848.

Contact Information

Primary practice address
2021 Columbus Ave Washington Court House OH 43160-9094
Phone: (740) 333-7848
Fax: (740) 333-1212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT9304 Ohio

Profile Details

NPI number 1790826675
LBN Legal business name Moore, Jason Wayne
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790826675 NPPES
Ohio MEDICAID 2572943

Popular Providers