Moore, Jerry W
Moore, Jerry W is an individual health care provider with primary practice located at 1246 Ashland Ave Ste 107, Zanesville OH 43701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Moore, Jerry W can be contacted via phone (740) 454-7725.Contact Information
Primary practice address
1246 Ashland Ave Ste 107
Zanesville OH 43701
Phone: (740) 454-7725
Fax: (740) 454-7728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35043340M | Ohio |
Profile Details
| NPI number | 1588640569 |
|---|---|
| LBN Legal business name | Moore, Jerry W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Feb 8th, 2011 - about 13 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 | 1588640569 | NPPES |
| Ohio | MEDICAID | 0426239 |
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