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Contact Information

JERRY W MOORE, MD
1246 ASHLAND AVE
STE 107
ZANESVILLE, OH43701
 Phone: 740-454-7725
 Fax: 740-454-7728
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JERRY W MOORE · (Male)

NPI Number 1588640569
Status Active
Credentials MD
Entity Individual
Enumeration date 12/21/2005
Last updated 02/08/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35043340M
  • OH Medicaid 0426239
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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