Moore, John Michael

Moore, John Michael is an individual health care provider with primary practice located at 1401 Harrodsburg Rd Ste B75 , Lexington KY 40504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Moore, John Michael can be contacted via phone (859) 276-3883.

Contact Information

Primary practice address
1401 Harrodsburg Rd Ste B75 Lexington KY 40504
Fax: (859) 276-3855
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 20795 Kentucky

Profile Details

NPI number 1205896826
LBN Legal business name Moore, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 16th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205896826 NPPES
Kentucky MEDICAID 64207954

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