Moore, John Douglas
Moore, John Douglas is an individual health care provider with primary practice located at 1004 Hermitage Rd Bldg 1014 , Virginia Beach VA 23459-9100. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Moore, John Douglas can be contacted via phone (757) 462-3178.Contact Information
Primary practice address
1004 Hermitage Rd Bldg 1014
Virginia Beach VA 23459-9100
Phone: (757) 462-3178
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1851841449 |
|---|---|
| LBN Legal business name | Moore, John Douglas |
| Credentials | DIVE IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2016 |
| Last updated | Oct 7th, 2016 - about 8 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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