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
Fax: (814) 275-1003
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366444267 NPPES
Pennsylvania Other MO1543448 BLUE CROSS INDEMNITY

Popular Providers