Moore, Jason Alan

Moore, Jason Alan is an sole proprietor health care provider with primary practice located at 2511 3Rd Ave , Huntington WV 25703-2809. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moore, Jason Alan can be contacted via phone (304) 523-7891.

Contact Information

Primary practice address
2511 3Rd Ave Huntington WV 25703-2809
Fax: (304) 523-7894
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 819 West Virginia

Profile Details

NPI number 1871667691
LBN Legal business name Moore, Jason Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated May 7th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871667691 NPPES
West Virginia MEDICAID 3810001016

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