Moore, Jason
Moore, Jason is an sole proprietor health care provider with primary practice located at 104 N Main St # 200 , Louisburg NC 27549-2516. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Moore, Jason can be contacted via phone (919) 496-7781.Contact Information
Primary practice address
104 N Main St # 200
Louisburg NC 27549-2516
Phone: (919) 496-7781
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS-22354 | North Carolina |
Profile Details
| NPI number | 1114466299 |
|---|---|
| LBN Legal business name | Moore, Jason |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2017 |
| Last updated | Feb 22nd, 2017 - about 9 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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