Moore, John B
Moore, John B is an individual health care provider with primary practice located at 777 Bannock St Mc 7782, Denver CO 80204-4507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Moore, John B can be contacted via phone (303) 436-6000.Contact Information
Primary practice address
777 Bannock St Mc 7782
Denver CO 80204-4507
Phone: (303) 436-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 20487 | Colorado |
Profile Details
| NPI number | 1194819649 |
|---|---|
| LBN Legal business name | Moore, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 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 | 1194819649 | NPPES |
| Colorado | MEDICAID | 01204874 |
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