Moore, Kevin Brian
Moore, Kevin Brian is an sole proprietor health care provider with primary practice located at 1004 Butler Ave , New Castle PA 16101-4282. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moore, Kevin Brian can be contacted via phone (724) 652-1772.Contact Information
Primary practice address
1004 Butler Ave
New Castle PA 16101-4282
Phone: (724) 652-1772
Fax: (724) 652-0830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC002851L | Pennsylvania |
Profile Details
| NPI number | 1255484036 |
|---|---|
| LBN Legal business name | Moore, Kevin Brian |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255484036 | NPPES |
| Pennsylvania | Other | 162843 | UNISON |
| Pennsylvania | Other | V0813B | UNISON |
| Pennsylvania | MEDICAID | 000988170-0001 | UNISON |
| Pennsylvania | Other | 1648352 | UNISON |
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