Justin L Moore in Fairmount City - Specialist
Justin L Moore - NPI 1366444267
Justin L Moore is a Specialist in Fairmount City, Pennsylvania. Justin L Moore practices all healthcare services and medical treatments related to Specialist. The NPI Number for Justin L Moore is 1366444267. The last update date is 2007-07-08.
Justin L Moore's current location address is Po Box 46, Fairmount City, Pennsylvania. You can contact this provider via phone number 8142751000 and fax number 8142751003. The mailing address for Justin L Moore is Po Box 46, Fairmount City, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin L Moore |
|---|---|
| Address | Po Box 46, Fairmount City, Pennsylvania |
| Phone Number | 8142751000 |
| Fax Number | 8142751003 |
| Sole Proprietor | X |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1366444267 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 46 |
|---|---|
| City | Fairmount City |
| State | Pennsylvania (PA) |
| Post Code | 162240046 |
| Phone Number | 8142751000 |
| Fax Number | 8142751003 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT013701L |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MO1543448 | PA | BLUE CROSS INDEMNITY |
Post Comment/ Review Below
What is the unique identification code assigned to Justin L Moore by the Centers for Medicare & Medicaid Services?
The Justin L Moore has been issued the NPI (National Provider Identifier) 1366444267. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Justin L Moore is physically located?
The Justin L Moore is situated at the following address: Po Box 46, Fairmount City, PA 162240046.
What is the area of specialization for Justin L Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Justin L Moore is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366444267 to Justin L Moore?
The Justin L Moore received its 1366444267 assignment from the Centers for Medicare & Medicaid Services on 2005-08-11.
When was the information related to Justin L Moore most recently updated or refreshed?
The details pertaining to the Justin L Moore, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1699778829
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