Moore, Spencer Keith

Moore, Spencer Keith is an individual health care provider with primary practice located at 1804 Highway 45 Byp Suite 604, Jackson TN 38305-4436. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Moore, Spencer Keith can be contacted via phone (731) 660-7971.

Contact Information

Primary practice address
1804 Highway 45 Byp Suite 604 Jackson TN 38305-4436
Phone: (731) 660-7971
Fax: (731) 660-8739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1770928517
LBN Legal business name Moore, Spencer Keith
Credentials CW
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2013
Last updated Sep 8th, 2014 - about 11 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.

Request for update

Popular Providers