Moore, John P.

Moore, John P. is an individual health care provider with primary practice located at 1118 Ross Clark Cir Ste 310, Dothan AL 36301-3002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moore, John P. can be contacted via phone (334) 793-1534.

Contact Information

Primary practice address
1118 Ross Clark Cir Ste 310 Dothan AL 36301-3002
Fax: (334) 793-6991
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9967 Alabama

Profile Details

NPI number 1720083561
LBN Legal business name Moore, John P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Dec 30th, 2009 - about 15 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 1720083561 NPPES
Alabama MEDICAID 000015068
Alabama Other 000015068

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