Moxon, Richard Lee

Moxon, Richard Lee is an individual health care provider with primary practice located at 93 S Pioneer Rd Ste 200 , Fond Du Lac WI 54936-1776. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moxon, Richard Lee can be contacted via phone (920) 907-1283.

Contact Information

Primary practice address
93 S Pioneer Rd Ste 200 Fond Du Lac WI 54936-1776
Phone: (920) 907-1283
Fax: (920) 907-1285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3019 Wisconsin

Profile Details

NPI number 1437289972
LBN Legal business name Moxon, Richard Lee
Credentials DC CCEP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jun 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437289972 NPPES
Wisconsin MEDICAID 38880600

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