Dr. Martha Jane Moore
Family Doctor Family Doctor - Addiction Medicine
232 Wood Street
Wrangell
, Alaska 99929
Dr. Martha Jane Moore
Family Doctor Family Doctor - Addiction Medicine
232 Wood Street
Wrangell
, Alaska 99929
(907) 874-4719
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Martha Jane Moore
- Po Box 1231
- Wrangell, AK
- Zip : 99929-1231
- Fax : (907) 874-4719
- Phone : (907) 874-4700
Second Address
- Dr. Martha Jane Moore
- 232 Wood Street
- Wrangell, AK
- Zip : 99929
- Fax : (907) 874-4719
- Phone : (907) 874-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 3944 | AK |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 6678 | AK |
National Provider Identifier
| NPI | 1053418921 |
|---|---|
| Provider Name | Dr. Martha Jane Moore |
| First Address | Wrangell, AK 99929-1231 |
| Second Address | Wrangell, AK 99929 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 20/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MD8920 | (05) | AK |
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.