Jack C Moore is a Family Medicine in Louisville, Kentucky. Jack C Moore practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack C Moore is 1164443529. The last update date is 2019-08-19.
Jack C Moore's current location address is 100 E Liberty St Ste 800, Louisville, Kentucky. You can contact this provider via phone number 5022440911 and fax number 5022530581. The mailing address for Jack C Moore is 100 E Liberty St Ste 800, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack C Moore |
|---|---|
| Address | 100 E Liberty St Ste 800, Louisville, Kentucky |
| Phone Number | 5022440911 |
| Fax Number | 5022530581 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164443529 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2019-08-19 |
Provider Mailing Address Detail
| Address | 100 E Liberty St Ste 800 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402021428 |
| Phone Number | 5022440911 |
| Fax Number | 5022530581 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 34365 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01073440 | KY | MEDICARE RAILROAD | |
| 64040173 | KY | -- |
Post Comment/ Review Below
What is the Jack C Moore's unique identification number?
The Jack C Moore has been assigned the NPI (National Provider Identifier) Number 1164443529 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jack C Moore is located?
The Jack C Moore is situated at the following address: 100 E Liberty St Ste 800, Louisville, KY, 402021428.
What is Jack C Moore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack C Moore is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did the Jack C Moore receive its 1164443529?
The Jack C Moore was issued its 1164443529 on 2006-07-21, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jack C Moore most recently updated or revised?
The details related to Jack C Moore, including its address, specialty, and other relevant information, were last updated or revised on 2019-08-19.