Moutsopoulos, Catherine Elaine

Moutsopoulos, Catherine Elaine is an individual health care provider with primary practice located at 940 North Halifax Avenue Clinic, Daytona Beach FL 32118-3733. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Moutsopoulos, Catherine Elaine can be contacted via phone (386) 255-4338.

Contact Information

Primary practice address
940 North Halifax Avenue Clinic Daytona Beach FL 32118-3733
Fax: (386) 248-1104
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 7702 Florida

Profile Details

NPI number 1740373216
LBN Legal business name Moutsopoulos, Catherine Elaine
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Sep 6th, 2013 - about 13 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 1740373216 NPPES
Florida MEDICAID 381589700

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