Moore, Jeffrey D

Moore, Jeffrey D is an individual health care provider with primary practice located at 860 Omni Blvd Suite #203, Newport News VA 23606-4237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moore, Jeffrey D can be contacted via phone (757) 327-0657.

Contact Information

Primary practice address
860 Omni Blvd Suite #203 Newport News VA 23606-4237
Phone: (757) 327-0657
Fax: (757) 327-0658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101040065 Virginia

Profile Details

NPI number 1023099702
LBN Legal business name Moore, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Aug 18th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023099702 NPPES
Virginia Other 186495 ANTHEM
Virginia MEDICAID 010195446 ANTHEM
Virginia Other 1820272 ANTHEM
Virginia Other P00294853 ANTHEM

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