Moore, Jason Richard Ellsworth
Moore, Jason Richard Ellsworth is an sole proprietor health care provider with primary practice located at 2233 Rocky Ln , Ashland OH 44805-4701. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Moore, Jason Richard Ellsworth can be contacted via phone (419) 281-3716.Contact Information
Primary practice address
2233 Rocky Ln
Ashland OH 44805-4701
Phone: (419) 281-3716
Fax: (419) 281-4605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.0600769 | Ohio |
Profile Details
| NPI number | 1114218864 |
|---|---|
| LBN Legal business name | Moore, Jason Richard Ellsworth |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2011 |
| Last updated | May 2nd, 2011 - about 15 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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