Moore, Johanna L

Moore, Johanna L is an individual health care provider with primary practice located at 130 S Bryn Mawr Ave , Bryn Mawr PA 19010. 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, Johanna L can be contacted via phone (610) 526-3583.

Contact Information

Primary practice address
130 S Bryn Mawr Ave Bryn Mawr PA 19010
Phone: (610) 526-3583
Fax: (610) 526-3614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA002613L Pennsylvania

Profile Details

NPI number 1730153438
LBN Legal business name Moore, Johanna L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jun 28th, 2019 - about 6 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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