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
Fax: (510) 465-5520
Website:

Health care specialties

SpecialtyCodeLicense #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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