Moore, Randall B.
Moore, Randall B. is an individual health care provider with primary practice located at 804 S Hood St , Alvin TX 77511-3459. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Moore, Randall B. can be contacted via phone (720) 985-5372.Contact Information
Primary practice address
804 S Hood St
Alvin TX 77511-3459
Phone: (720) 985-5372
Fax: (720) 302-2522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5595 | Colorado |
| Chiropractic Providers / Chiropractor | 111N00000X | 09118 | Texas |
| Chiropractic Providers / Sports Physician | 111NS0005X | 9118 | Texas |
Profile Details
| NPI number | 1457421877 |
|---|---|
| LBN Legal business name | Moore, Randall B. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Apr 28th, 2023 - about 3 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 | 1457421877 | NPPES |
| Colorado | Other | 46-4309251 | TAX ID# |
| Colorado | Other | 9118 | TAX ID# |
| Colorado | Other | 1457421877 | TAX ID# |
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