Moore, James Leroy

Moore, James Leroy is an individual health care provider with primary practice located at 5010 Wood Shire Dr , Columbia MO 65202-6654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Moore, James Leroy can be contacted via phone (816) 674-5528.

Contact Information

Primary practice address
5010 Wood Shire Dr Columbia MO 65202-6654
Phone: (816) 674-5528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 113646 Missouri

Profile Details

NPI number 1649835521
LBN Legal business name Moore, James Leroy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2019
Last updated May 6th, 2019 - about 7 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 1649835521 NPPES
Missouri Other 113646 ATHLETIC TRAINER

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