Moseley, Jack Ellis

Moseley, Jack Ellis is an individual health care provider with primary practice located at 2600 E Willow Rd Northern Oklahoma Resource Center, Enid OK 73701-8715. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moseley, Jack Ellis can be contacted via phone (580) 213-2700.

Contact Information

Primary practice address
2600 E Willow Rd Northern Oklahoma Resource Center Enid OK 73701-8715
Phone: (580) 213-2700
Fax: (580) 548-2647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20477 Oklahoma
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20477 Oklahoma

Profile Details

NPI number 1558438887
LBN Legal business name Moseley, Jack Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Aug 26th, 2009 - about 17 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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