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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1790826675 | NPPES |
| Ohio | MEDICAID | 2572943 |
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