Moore, John David

Moore, John David is an individual health care provider with primary practice located at 2514 S Croatan Hwy , Nags Head NC 27959-9016. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Moore, John David can be contacted via phone (140) 675-0417.

Contact Information

Primary practice address
2514 S Croatan Hwy Nags Head NC 27959-9016
Phone: (140) 675-0417
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1326 LCPC Montana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 9119 North Carolina

Profile Details

NPI number 1639369556
LBN Legal business name Moore, John David
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Feb 29th, 2012 - about 12 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 1639369556 NPPES
Montana Other 0000744050 BLUE CROSS-SHIELD PROV #
Montana MEDICAID 1639369556 BLUE CROSS-SHIELD PROV #

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