Moore, Warren M.

Moore, Warren M. is an individual health care provider with primary practice located at 515 7Th Ave Ste 230 , Fairbanks AK 99701-4949. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moore, Warren M. can be contacted via phone (907) 456-4234.

Contact Information

Primary practice address
515 7Th Ave Ste 230 Fairbanks AK 99701-4949
Fax: (907) 451-9168
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA933 Idaho
Chiropractic Providers / Chiropractor 111N00000X CHIC365 Alaska

Profile Details

NPI number 1225123573
LBN Legal business name Moore, Warren M.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 16th, 2019 - about 7 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 1225123573 NPPES
Alaska MEDICAID 1004390

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