Moore, Joe E

Moore, Joe E is an individual health care provider with primary practice located at 780 Prairie Hollow Rd , Ozark MO 65721-7471. 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, Joe E can be contacted via phone (417) 300-4064.

Contact Information

Primary practice address
780 Prairie Hollow Rd Ozark MO 65721-7471
Fax:
Website:

Profile Details

NPI number 1699852442
LBN Legal business name Moore, Joe E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 29th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699852442 NPPES
Wisconsin Other 0007725040 AETNA
Wisconsin MEDICAID 40318700 AETNA

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