Moore, Jodi
Moore, Jodi is an individual health care provider with primary practice located at 47 8Th St W , Dickinson ND 58601-3951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moore, Jodi can be contacted via phone (701) 456-3819.Contact Information
Primary practice address
47 8Th St W
Dickinson ND 58601-3951
Phone: (701) 456-3819
Fax: (701) 456-3815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PAC0303 | North Dakota |
Profile Details
| NPI number | 1366412843 |
|---|---|
| LBN Legal business name | Moore, Jodi |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366412843 | NPPES |
| North Dakota | Other | P00074851 | RAILROAD MEDICARE |
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