Jacqueline P. Moore
M.D. | Pediatrics | Female
Jacqueline P. Moore, M.D. is a Southfield, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jacqueline P. Moore is
Henry Ford Health System, 22777 W. Eleven Mile Rd, Southfield, Michigan - 48034. She can be contacted on phone at
248-358-0722 and fax number 248-358-8658.
Jacqueline P. Moore is a sole proprietor of her business.
NPI number (Unique professional ID) for Jacqueline P. Moore is
1679620488 which was assigned by NPPES on 04 Jan, 2007 and it was last updated on 08 Jul, 2007.
Jacqueline P. Moore license number is
4301038170 for Pediatrics (208000000X) in Michigan.
Jacqueline P. Moore is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jacqueline P. Moore basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jacqueline P. Moore |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Jacqueline P. Moore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Henry Ford Health System, 22777 W. Eleven Mile Rd
Southfield, MI, 48034
United States |
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| Phone Number : | 248-358-0722 |
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| Fax Number : | 248-358-8658 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679620488 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jan, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline P. Moore are as mentioned. Primary taxonomy code for Jacqueline P. Moore, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301038170 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Jacqueline P. Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| JM038170 | Other | | CHAMPUS-CHAMPUS |
| JM038170 | Other | | COMMERCIAL-COMMERCIAL NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Henry Ford Health System, 22777 W. Eleven Mile Rd
Southfield, MI, 48034
United States |
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| Phone Number : | 248-358-0722 |
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Business Location:
Patients can refer following map for directions to
Jacqueline P. Moore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.