Moore, Joel Ashley
Moore, Joel Ashley is an individual health care provider with primary practice located at 4209 Lincoln Rd , Hattiesburg MS 39402-3065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Joel Ashley can be contacted via phone (601) 579-5400.Contact Information
Primary practice address
4209 Lincoln Rd
Hattiesburg MS 39402-3065
Phone: (601) 579-5400
Fax: (601) 579-5240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24606 | Mississippi |
Profile Details
| NPI number | 1891176947 |
|---|---|
| LBN Legal business name | Moore, Joel Ashley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2015 |
| Last updated | Aug 30th, 2022 - about 4 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 | 1891176947 | NPPES |
| Mississippi | MEDICAID | 06335874 |
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