Jonathan M Moore in Chesterfield - Podiatrist
Jonathan M Moore - NPI 1063670602
Jonathan M Moore is a Podiatrist in Chesterfield, Michigan. Jonathan M Moore practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jonathan M Moore is 1063670602. The last update date is 2022-12-04.
Jonathan M Moore's current location address is 32743 23 Mile Rd Ste 210, Chesterfield, Michigan. You can contact this provider via phone number 7084243201 and fax number 7084245001. The mailing address for Jonathan M Moore is 32743 23 Mile Rd Ste 210, Chesterfield, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jonathan M Moore |
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Address | 32743 23 Mile Rd Ste 210, Chesterfield, Michigan |
Phone Number | 7084243201 |
Fax Number | 7084245001 |
Sole Proprietor | Y |
Credentials | DPM |
NPI Number Detail
NPI Number | 1063670602 |
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Provider Enumeration Date | 2008-05-30 |
Last Updated Date | 2022-12-04 |
Provider Mailing Address Detail
Address | 32743 23 Mile Rd Ste 210 |
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City | Chesterfield |
State | Michigan (MI) |
Post Code | 480472176 |
Phone Number | 7084243201 |
Fax Number | 7084245001 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | 36003490 |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique identification code assigned to Jonathan M Moore by the Centers for Medicare & Medicaid Services?
The Jonathan M Moore has been issued the NPI (National Provider Identifier) 1063670602. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jonathan M Moore is physically located?
The Jonathan M Moore is physically situated at the following address: 32743 23 Mile Rd Ste 210, Chesterfield, MI, 480472176.
What is Jonathan M Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan M Moore's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063670602 to Jonathan M Moore?
The Jonathan M Moore received its 1063670602 assignment from the Centers for Medicare & Medicaid Services on 2008-05-30.
When was the information related to Jonathan M Moore most recently updated or refreshed?
The details pertaining to the Jonathan M Moore, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-12-04.