Moore, John W.

Moore, John W. is an sole proprietor health care provider with primary practice located at 822 W White River Blvd , Muncie IN 47303-3868. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moore, John W. can be contacted via phone (765) 288-4769.

Contact Information

Primary practice address
822 W White River Blvd Muncie IN 47303-3868
Fax: (765) 284-8595
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001075 Indiana

Profile Details

NPI number 1093835126
LBN Legal business name Moore, John W.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Aug 1st, 2022 - about 4 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 1093835126 NPPES
Indiana MEDICAID 100106680A

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