Moore, Julia F
Moore, Julia F is an individual health care provider with primary practice located at 884 W Park Ave , Port Townsend WA 98368-2273. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Moore, Julia F can be contacted via phone (360) 385-0321.Contact Information
Primary practice address
884 W Park Ave
Port Townsend WA 98368-2273
Phone: (360) 385-0321
Fax: (360) 379-5534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 17254-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 17254-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD00015945 | Washington |
Profile Details
| NPI number | 1578584298 |
|---|---|
| LBN Legal business name | Moore, Julia F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Feb 28th, 2013 - about 13 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 | 1578584298 | NPPES |
| Wisconsin | MEDICAID | 34260900 | |
| Wisconsin | Other | A05208 | |
| Wisconsin | Other | 42572 |
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