Moore, Joseph Todd

Moore, Joseph Todd is an sole proprietor health care provider with primary practice located at 11 Executive Woods Ct , Swansea IL 62226-2016. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Moore, Joseph Todd can be contacted via phone (618) 513-0090.

Contact Information

Primary practice address
11 Executive Woods Ct Swansea IL 62226-2016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209027238 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2023010527 Missouri

Profile Details

NPI number 1679620082
LBN Legal business name Moore, Joseph Todd
Credentials FNP, DC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated May 31st, 2023 - about 2 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