Moore, Jake

Moore, Jake is an individual health care provider with primary practice located at 1333 Iris Ave , Boulder CO 80304-2226. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Moore, Jake can be contacted via phone (303) 443-8500.

Contact Information

Primary practice address
1333 Iris Ave Boulder CO 80304-2226
Phone: (303) 443-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1710227327
LBN Legal business name Moore, Jake
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated Feb 18th, 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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