Moscoe, Jay Edward

Moscoe, Jay Edward is an individual health care provider with primary practice located at 125 N Main St , Madison VA 22727-3035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moscoe, Jay Edward can be contacted via phone (540) 948-6861.

Contact Information

Primary practice address
125 N Main St Madison VA 22727-3035
Phone: (540) 948-6861
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101028982 Virginia

Profile Details

NPI number 1619932225
LBN Legal business name Moscoe, Jay Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619932225 NPPES
Other 067495 ANTHEM/BC/BS
MEDICAID 5644399 ANTHEM/BC/BS

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