Moore, John William

Moore, John William is an individual health care provider with primary practice located at 2643 Patterson Rd Ste 605 , Grand Junction CO 81506-1937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Moore, John William can be contacted via phone (970) 244-2482.

Contact Information

Primary practice address
2643 Patterson Rd Ste 605 Grand Junction CO 81506-1937
Phone: (970) 244-2482
Fax: (970) 255-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X DR.0062442 Colorado
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X DR.0062442 Colorado

Profile Details

NPI number 1548462385
LBN Legal business name Moore, John William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jun 7th, 2019 - about 5 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 1548462385 NPPES
Indiana MEDICAID 200422290A

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