Moore, John Pease
Moore, John Pease is an individual health care provider with primary practice located at 2595 Needmore Rd , Dayton OH 45414-4203. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moore, John Pease can be contacted via phone (937) 277-3442.Contact Information
Primary practice address
2595 Needmore Rd
Dayton OH 45414-4203
Phone: (937) 277-3442
Fax: (937) 277-2943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35-069259 | Ohio |
Profile Details
| NPI number | 1619973971 |
|---|---|
| LBN Legal business name | Moore, John Pease |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619973971 | NPPES |
| Ohio | MEDICAID | 2245421 | |
| Ohio | MEDICAID | 2047225 |
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