Moore, James David

Moore, James David is an individual health care provider with primary practice located at 603 Monroe St , Dover OH 44622-2046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, James David can be contacted via phone (330) 364-8889.

Contact Information

Primary practice address
603 Monroe St Dover OH 44622-2046
Phone: (330) 364-8889
Fax: (330) 343-7505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 61813 Ohio

Profile Details

NPI number 1770590630
LBN Legal business name Moore, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770590630 NPPES
Ohio MEDICAID 0856131

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