Moore, Benjamin R

Moore, Benjamin R is an individual health care provider with primary practice located at 555 East Broadway Suite 100, Jackson WY 83001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Moore, Benjamin R can be contacted via phone (307) 739-7491.

Contact Information

Primary practice address
555 East Broadway Suite 100 Jackson WY 83001
Phone: (307) 739-7491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1189 Wyoming

Profile Details

NPI number 1033240981
LBN Legal business name Moore, Benjamin R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 18 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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