Moore, Jason Otis
Moore, Jason Otis is an individual health care provider with primary practice located at 500 W. Ave E St. , Hope AR 71801. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Moore, Jason Otis can be contacted via phone (870) 773-0700.Contact Information
Primary practice address
500 W. Ave E St.
Hope AR 71801
Phone: (870) 773-0700
Fax: (870) 773-0705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Arkansas |
Profile Details
| NPI number | 1154705382 |
|---|---|
| LBN Legal business name | Moore, Jason Otis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2015 |
| Last updated | Oct 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154705382 | NPPES |
| Arkansas | MEDICAID | 226648795 |
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