Moore, Jordan David

Moore, Jordan David is an individual health care provider with primary practice located at Boston Sports Institute 900 Worcester St, Wellesley MA 02482. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Moore, Jordan David can be contacted via phone (781) 489-5088.

Contact Information

Primary practice address
Boston Sports Institute 900 Worcester St Wellesley MA 02482
Phone: (781) 489-5088
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 3006 Massachusetts

Profile Details

NPI number 1134767312
LBN Legal business name Moore, Jordan David
Credentials MS, ATC, LAT, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2019
Last updated Dec 18th, 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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