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
Phone: (618) 513-0090
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
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