Moss, Randell Wayne
Moss, Randell Wayne is an individual health care provider with primary practice located at 821 N. Nolan River Rd. , Cleburne TX 76033. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moss, Randell Wayne can be contacted via phone (817) 641-4042.Contact Information
Primary practice address
821 N. Nolan River Rd.
Cleburne TX 76033
Phone: (817) 641-4042
Fax: (817) 645-4357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4692 | Texas |
Profile Details
| NPI number | 1972512531 |
|---|---|
| LBN Legal business name | Moss, Randell Wayne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Aug 27th, 2018 - about 8 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 | 1972512531 | NPPES |
| Texas | Other | 4361073 | AETNA |
| Texas | Other | 350027566 | AETNA |
| Texas | Other | 8A7230 | AETNA |
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