Moore, Justin L
Moore, Justin L is an individual health care provider with primary practice located at 987 Brookville St , Fairmount City PA 16224-0046. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moore, Justin L can be contacted via phone (814) 275-1000.Contact Information
Primary practice address
987 Brookville St
Fairmount City PA 16224-0046
Phone: (814) 275-1000
Fax: (814) 275-1003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT013701L | Pennsylvania |
Profile Details
| NPI number | 1366444267 |
|---|---|
| LBN Legal business name | Moore, Justin L |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366444267 | NPPES |
| Pennsylvania | Other | MO1543448 | BLUE CROSS INDEMNITY |
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