Moore, Jacqueline P.
Moore, Jacqueline P. is an individual health care provider with primary practice located at Henry Ford Health System 22777 W. Eleven Mile Rd, Southfield MI 48034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Jacqueline P. can be contacted via phone (248) 358-0722.Contact Information
Primary practice address
Henry Ford Health System 22777 W. Eleven Mile Rd
Southfield MI 48034
Phone: (248) 358-0722
Fax: (248) 358-8658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301038170 | Michigan |
Profile Details
| NPI number | 1679620488 |
|---|---|
| LBN Legal business name | Moore, Jacqueline P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1679620488 | NPPES |
| Other | JM038170 | COMMERCIAL-COMMERCIAL NUMBER | |
| Other | JM038170 | COMMERCIAL-COMMERCIAL NUMBER |
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