Moore, Jordan A

Moore, Jordan A is an sole proprietor health care provider with primary practice located at 121 E Silver Spring Dr , Whitefish Bay WI 53217-4702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Moore, Jordan A can be contacted via phone (414) 964-9030.

Contact Information

Primary practice address
121 E Silver Spring Dr Whitefish Bay WI 53217-4702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 26687 Wisconsin

Profile Details

NPI number 1013992619
LBN Legal business name Moore, Jordan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Feb 18th, 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.

Request for update

Popular Providers