Moore, Jeffrey K

Moore, Jeffrey K is an individual health care provider with primary practice located at 161 Marginal Way , Portland ME 04101-2438. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Moore, Jeffrey K can be contacted via phone (207) 774-8277.

Contact Information

Primary practice address
161 Marginal Way Portland ME 04101-2438
Phone: (207) 774-8277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 016500 Maine
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD16500 Maine

Profile Details

NPI number 1518963677
LBN Legal business name Moore, Jeffrey K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Oct 12th, 2023 - about last year

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 1518963677 NPPES
Maine MEDICAID 411850099

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