Moulder, Faxon D

Moulder, Faxon D is an sole proprietor health care provider with primary practice located at 66 E State Rd , Pleasant Grove UT 84062-2637. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moulder, Faxon D can be contacted via phone (801) 796-7961.

Contact Information

Primary practice address
66 E State Rd Pleasant Grove UT 84062-2637
Fax: (801) 796-1104
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2774319-41202 Utah

Profile Details

NPI number 1427137371
LBN Legal business name Moulder, Faxon D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
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.

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