Moody, Jon Rice

Moody, Jon Rice is an sole proprietor health care provider with primary practice located at 420 Lowell Dr Se Suite 106, Huntsville AL 35801-3754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moody, Jon Rice can be contacted via phone (256) 535-5964.

Contact Information

Primary practice address
420 Lowell Dr Se Suite 106 Huntsville AL 35801-3754
Phone: (256) 535-5964
Fax: (256) 535-5963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15098 Alabama

Profile Details

NPI number 1164404513
LBN Legal business name Moody, Jon Rice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Mar 15th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164404513 NPPES
Alabama Other 51082080 BLUE CROSS BLUE SHIELD
Alabama Other 0004123794 BLUE CROSS BLUE SHIELD
Alabama Other 631024475 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 000082080 BLUE CROSS BLUE SHIELD
Alabama Other 110031761 BLUE CROSS BLUE SHIELD

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