Phillip Moore is a Chiropractor in Bald Knob, Arkansas. Phillip Moore practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Phillip Moore is 1962462903. The last update date is 2010-08-30.
Phillip Moore's current location address is Po Box 1609, Bald Knob, Arkansas. You can contact this provider via phone number 5017242202 and fax number 5017242202. The mailing address for Phillip Moore is Po Box 1609, Bald Knob, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Moore |
|---|---|
| Address | Po Box 1609, Bald Knob, Arkansas |
| Phone Number | 5017242202 |
| Fax Number | 5017242202 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1962462903 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2010-08-30 |
Provider Mailing Address Detail
| Address | Po Box 1609 |
|---|---|
| City | Bald Knob |
| State | Arkansas (AR) |
| Post Code | 720101609 |
| Phone Number | 5017242202 |
| Fax Number | 5017242202 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1083 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150110718 | AR | -- | |
| 5187337 | AR | AETNA | |
| 59073 | AR | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Phillip Moore by the Centers for Medicare & Medicaid Services?
The Phillip Moore has been assigned the NPI (National Provider Identifier) 1962462903. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Phillip Moore located?
The Phillip Moore is located at Po Box 1609, Bald Knob, AR 720101609.
What is Phillip Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phillip Moore's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When did Phillip Moore receive its 1962462903 assignment?
The Phillip Moore was assigned its 1962462903 on 2006-03-24, which is the date when this unique identifier was issued to the organization.
When was the information related to Phillip Moore most recently updated or refreshed?
The details pertaining to the Phillip Moore, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-30.