Moore, Jeremy

Moore, Jeremy is an sole proprietor health care provider with primary practice located at 1 Wyoming St , Dayton OH 45409-2722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Moore, Jeremy can be contacted via phone (937) 208-3356.

Contact Information

Primary practice address
1 Wyoming St Dayton OH 45409-2722
Phone: (937) 208-3356
Fax: (937) 208-3356
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.122401 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1245596022
LBN Legal business name Moore, Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2012
Last updated Nov 18th, 2024 - about 2 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 1245596022 NPPES
Ohio MEDICAID 0095172

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