Moore, Jennifer Renee

Moore, Jennifer Renee is an individual health care provider with primary practice located at 209 E Pennsylvania Ave , Jacksonville IL 62650-3435. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Moore, Jennifer Renee can be contacted via phone (217) 243-3926.

Contact Information

Primary practice address
209 E Pennsylvania Ave Jacksonville IL 62650-3435
Phone: (217) 243-3926
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1639106420
LBN Legal business name Moore, Jennifer Renee
Credentials ATC, LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
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.

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