Moore, Nicholas Jay

Moore, Nicholas Jay is an individual health care provider with primary practice located at 26850 Providence Pkwy Ste 260 , Novi MI 48374-1256. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Moore, Nicholas Jay can be contacted via phone (248) 465-5140.

Contact Information

Primary practice address
26850 Providence Pkwy Ste 260 Novi MI 48374-1256
Phone: (248) 465-5140
Fax: (248) 465-5141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301108292 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 4301108292 Michigan

Profile Details

NPI number 1265727556
LBN Legal business name Moore, Nicholas Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2011
Last updated Apr 16th, 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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