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
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
Provider Enumeration Date 2008-05-30
Last Updated Date 2022-12-04

Provider Mailing Address Detail

Address 32743 23 Mile Rd Ste 210
City Chesterfield
State Michigan (MI)
Post Code 480472176
Phone Number 7084243201
Fax Number 7084245001

Provider's Primary Taxonomy Detail

Speciality Podiatrist
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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FAQs about Jonathan M Moore

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.

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