Moore, Jennifer I
Moore, Jennifer I is an individual health care provider with primary practice located at 40 Cross St Suite 300, Norwalk CT 06851-4647. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Jennifer I can be contacted via phone (203) 229-2000.Contact Information
Primary practice address
40 Cross St Suite 300
Norwalk CT 06851-4647
Phone: (203) 229-2000
Fax: (203) 840-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 045613 | Connecticut |
Profile Details
| NPI number | 1013115476 |
|---|---|
| LBN Legal business name | Moore, Jennifer I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2007 |
| Last updated | Jan 26th, 2017 - about 7 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 | 1013115476 | NPPES |
| Connecticut | MEDICAID | 008008169 |
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