Moore, Jeffrey Glenn
Moore, Jeffrey Glenn is an individual health care provider with primary practice located at Room 118 Fieldhouse All American Drive, University MS 38677. 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, Jeffrey Glenn can be contacted via phone (662) 915-7536.Contact Information
Primary practice address
Room 118 Fieldhouse All American Drive
University MS 38677
Phone: (662) 915-7536
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0087 | Mississippi |
Profile Details
NPI number | 1578533790 |
---|---|
LBN Legal business name | Moore, Jeffrey Glenn |
Credentials | Athletic Trainer, Certified (ATC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2006 |
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.
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