Moore, John Richard

Moore, John Richard is an sole proprietor health care provider with primary practice located at 809 Wheeler St Ste 2 , Ames IA 50010-4367. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moore, John Richard can be contacted via phone (515) 233-1709.

Contact Information

Primary practice address
809 Wheeler St Ste 2 Ames IA 50010-4367
Phone: (515) 233-1709
Fax: (515) 232-1917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X A5288 Iowa

Profile Details

NPI number 1144210212
LBN Legal business name Moore, John Richard
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2005
Last updated Apr 6th, 2010 - about 16 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 1144210212 NPPES
Iowa Other 42678 BCBS
Iowa Other 1346383619 BCBS
Iowa Other 1144210212 BCBS
Iowa MEDICAID IA 17029 BCBS
Iowa MEDICAID 0087973 BCBS

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