Moore, Jerry

Moore, Jerry is an individual health care provider with primary practice located at 417 Liberty St , Springfield MA 01104-3736. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Moore, Jerry can be contacted via phone (413) 747-0705.

Contact Information

Primary practice address
417 Liberty St Springfield MA 01104-3736
Phone: (413) 747-0705
Fax: (413) 732-7075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 33527 Massachusetts

Profile Details

NPI number 1033368790
LBN Legal business name Moore, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2008
Last updated Sep 17th, 2008 - about 16 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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