Moore, Jesse
Moore, Jesse is an individual health care provider with primary practice located at 3008 Huntsville Dr , Glen Carbon IL 62034-3046. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Moore, Jesse can be contacted via phone (317) 691-6262.Contact Information
Primary practice address
3008 Huntsville Dr
Glen Carbon IL 62034-3046
Phone: (317) 691-6262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070018656 | Illinois |
Profile Details
| NPI number | 1043555410 |
|---|---|
| LBN Legal business name | Moore, Jesse |
| Credentials | DPT, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2012 |
| Last updated | Dec 11th, 2012 - about 12 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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