Moore, John Blaine

Moore, John Blaine is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Moore, John Blaine can be contacted via phone (757) 953-1043.

Contact Information

Primary practice address
620 John Paul Jones Cir Portsmouth VA 23708-2111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 01076297A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01076297A Indiana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01076297A Indiana

Profile Details

NPI number 1932519188
LBN Legal business name Moore, John Blaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2014
Last updated Jan 13th, 2022 - about 2 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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