Moss Chiropractic, P.A. in Idaho Falls - Chiropractor

Moss Chiropractic, P.A. - NPI 1912029604

Moss Chiropractic, P.A. is a Chiropractor in Idaho Falls, Idaho. Moss Chiropractic, P.A. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Moss Chiropractic, P.A. is 1912029604. The last update date is 2012-01-13.

Moss Chiropractic, P.A.'s current location address is 1278 S Woodruff Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085243018 and fax number 2085243019. The mailing address for Moss Chiropractic, P.A. is 1278 S Woodruff Ave, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Moss Chiropractic, P.A.
Address 1278 S Woodruff Ave, Idaho Falls, Idaho
Phone Number 2085243018
Fax Number 2085243019
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Moss A. Daryl
Credentials D.C.
Telephone Number 2085273039

NPI Number Detail

NPI Number 1912029604
Provider Enumeration Date 2007-04-04
Last Updated Date 2012-01-13

Provider Mailing Address Detail

Address 1278 S Woodruff Ave
City Idaho Falls
State Idaho (ID)
Post Code 834045544
Phone Number 2085243018
Fax Number 2085243019

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CHIA-896
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10028117 ID BLUE SHIELD OF IDAHO
C1823 ID BLUE CROSS OF IDAHO
807164600 ID --

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FAQs about Moss Chiropractic, P.A.

What is the unique identifier code issued to Moss Chiropractic, P.A. by the Centers for Medicare & Medicaid Services?

The Moss Chiropractic, P.A. has been assigned the NPI (National Provider Identifier) 1912029604. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Moss Chiropractic, P.A. is physically located?

The Moss Chiropractic, P.A. is situated at the following address: 1278 S Woodruff Ave, Idaho Falls, ID 834045544.

What is Moss Chiropractic, P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Moss Chiropractic, P.A. is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

On what date did the Moss Chiropractic, P.A. receive the assignment of its 1912029604 from the Centers for Medicare & Medicaid Services?

The Moss Chiropractic, P.A. was issued its 1912029604 by the Centers for Medicare & Medicaid Services on 2007-04-04.

As of what date was the information regarding Moss Chiropractic, P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Moss Chiropractic, P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-13.

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