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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1124005210 | NPPES |
| Ohio | MEDICAID | 0628744 | |
| Ohio | Other | 1144401464 | |
| Ohio | Other | 9338635 | |
| Ohio | Other | 2774985 | |
| Ohio | Other | 1841239274 |
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