Moore, Jason R

Moore, Jason R is an sole proprietor health care provider with primary practice located at 2006 Health Campus Dr , Rockingham VA 22801-8679. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Moore, Jason R can be contacted via phone (540) 689-5800.

Contact Information

Primary practice address
2006 Health Campus Dr Rockingham VA 22801-8679
Phone: (540) 689-5800
Fax: (757) 431-7136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2011-01858 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 29136 South Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101258172 Virginia

Profile Details

NPI number 1023037348
LBN Legal business name Moore, Jason R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Feb 28th, 2023 - about 3 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 1023037348 NPPES
Virginia MEDICAID 1023037348

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