Dr. Jacob Layne Moe
Internist Endocrinologist (Diabetes Doctor)
32255 Northwestern Hwy Ste 214
Farmington Hills
, Michigan 48334
Dr. Jacob Layne Moe
Internist Endocrinologist (Diabetes Doctor)
32255 Northwestern Hwy Ste 214
Farmington Hills
, Michigan 48334
(248) 851-5319
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About
Features
Specialties
- Internist
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Dr. Jacob Layne Moe
- 29992 Northwestern Hwy Ste C
- Farmington Hills, MI
- Zip : 48334-3292
- Fax : (248) 851-5319
- Phone : (248) 851-1430
Second Address
- Dr. Jacob Layne Moe
- 32255 Northwestern Hwy Ste 214
- Farmington Hills, MI
- Zip : 48334
- Fax : (248) 855-5628
- Phone : (248) 855-5620
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 5101019711 | MI |
| N | 111NI0900X | Internist | 5101019711 | MI |
| N | 207R00000X | Internist | 5315054293 | MI |
| N | 111NI0900X | Internist | 5315054293 | MI |
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 5101019711 | MI |
National Provider Identifier
| NPI | 1043574478 |
|---|---|
| Provider Name | Dr. Jacob Layne Moe |
| First Address | Farmington Hills, MI 48334-3292 |
| Second Address | Farmington Hills, MI 48334 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2012 |
| Last Update Date | 06/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1043574478 | (05) | MI |
| MI4989641 | MEDICARE PTAN (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.