Dr. Jordan A Moore
Dermatologist
121 E Silver Spring Dr
Whitefish Bay
, Wisconsin 53217-4702
Dr. Jordan A Moore
Dermatologist
121 E Silver Spring Dr
Whitefish Bay
, Wisconsin 53217-4702
(414) 964-9030
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Jordan A Moore
- 121 E Silver Spring Dr
- Whitefish Bay, WI
- Zip : 53217-4702
- Phone : (414) 964-9030
Second Address
- Dr. Jordan A Moore
- 121 E Silver Spring Dr
- Whitefish Bay, WI
- Zip : 53217-4702
- Phone : (414) 964-9030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 26687 | WI |
National Provider Identifier
| NPI | 1013992619 |
|---|---|
| Provider Name | Dr. Jordan A Moore |
| First Address | Whitefish Bay, WI 53217-4702 |
| Second Address | Whitefish Bay, WI 53217-4702 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2005 |
| Last Update Date | 18/02/2016 |
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.