Moore, Jeffrey Lee

Moore, Jeffrey Lee is an individual health care provider with primary practice located at 400 Wabash Ave , Akron OH 44307-2433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Moore, Jeffrey Lee can be contacted via phone (330) 344-6525.

Contact Information

Primary practice address
400 Wabash Ave Akron OH 44307-2433
Phone: (330) 344-6525
Fax: (330) 996-2943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-053478 Ohio

Profile Details

NPI number 1124005210
LBN Legal business name Moore, Jeffrey Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated May 14th, 2008 - about 17 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 1124005210 NPPES
Ohio MEDICAID 0628744
Ohio Other 1144401464
Ohio Other 9338635
Ohio Other 2774985
Ohio Other 1841239274

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