Moore, John
Moore, John is an individual health care provider with primary practice located at 1000 Broadway Ste 460 , Oakland CA 94607-4033. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Moore, John can be contacted via phone (510) 506-1719.Contact Information
Primary practice address
1000 Broadway Ste 460
Oakland CA 94607-4033
Phone: (510) 506-1719
Fax: (510) 465-5520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 29285 | California |
Profile Details
| NPI number | 1487125480 |
|---|---|
| LBN Legal business name | Moore, John |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2018 |
| Last updated | Dec 17th, 2018 - about 8 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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