Moore, John Michael

Moore, John Michael is an sole proprietor health care provider with primary practice located at 1403 E Sego Lily Dr Ste 100 , Sandy UT 84092-4350. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Moore, John Michael can be contacted via phone (801) 265-2212.

Contact Information

Primary practice address
1403 E Sego Lily Dr Ste 100 Sandy UT 84092-4350
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8205692-4405 Utah

Profile Details

NPI number 1902154172
LBN Legal business name Moore, John Michael
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2012
Last updated Jun 7th, 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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