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Contact Information

JEFFREY K MOORE, MD
421 CHESTNUT ST
EVANSVILLE, IN47713-1227
 Phone: 812-426-9355
 Fax: 812-858-4539
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JEFFREY K MOORE · (Male)

NPI # 1225105323
Status Active
Credentials MD
Entity Individual
Enumeration date 11/30/2006
Last updated 01/08/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01029516
  • IN Medicaid 100078540
  • Other 070005453 RAILROAD
  • IN Other 000000109394 ANTHEM
  • KY Other 64755457 KY MEDICAID
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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