Moorington, Jonmark
Moorington, Jonmark is an individual health care provider with primary practice located at 1919 E Thomas Rd. Phoenix Children'S Hospital, Phoenix AZ 85016. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Moorington, Jonmark can be contacted via phone (602) 546-2923.Contact Information
Primary practice address
1919 E Thomas Rd. Phoenix Children'S Hospital
Phoenix AZ 85016
Phone: (602) 546-2923
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2080H0002X | 59029 | Arizona |
Profile Details
| NPI number | 1851746440 |
|---|---|
| LBN Legal business name | Moorington, Jonmark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2016 |
| Last updated | Oct 22nd, 2021 - about 5 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 | 1851746440 | NPPES |
| Arizona | MEDICAID | 007164 |
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