Jack Alonzo Moses in Shelby Township - Chiropractor
Jack Alonzo Moses - NPI 1538154620
Jack Alonzo Moses is a Chiropractor in Shelby Township, Michigan. Jack Alonzo Moses practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jack Alonzo Moses is 1538154620. The last update date is 2011-09-09.
Jack Alonzo Moses's current location address is Po Box 183051, Shelby Township, Michigan. You can contact this provider via phone number 5863235060 and fax number 5863235062. The mailing address for Jack Alonzo Moses is Po Box 183051, Shelby Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Alonzo Moses |
|---|---|
| Address | Po Box 183051, Shelby Township, Michigan |
| Phone Number | 5863235060 |
| Fax Number | 5863235062 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1538154620 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2011-09-09 |
Provider Mailing Address Detail
| Address | Po Box 183051 |
|---|---|
| City | Shelby Township |
| State | Michigan (MI) |
| Post Code | 483183051 |
| Phone Number | 5863235060 |
| Fax Number | 5863235062 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301008704 |
|
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 |
|---|---|---|---|
| 0E01692 | MI | BLUECROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Alonzo Moses by the Centers for Medicare & Medicaid Services?
The Jack Alonzo Moses has been issued the NPI (National Provider Identifier) 1538154620 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack Alonzo Moses's facilities are geographically located?
The facilities of Jack Alonzo Moses are physically situated at the following location: Po Box 183051, Shelby Township, MI, 483183051.
What is Jack Alonzo Moses's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Alonzo Moses's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Jack Alonzo Moses receive the assignment of its 1538154620 from the Centers for Medicare & Medicaid Services?
The Jack Alonzo Moses was issued its 1538154620 by the Centers for Medicare & Medicaid Services on 2005-09-14.
As of what date were the details related to Jack Alonzo Moses most recently updated or revised?
The information pertaining to Jack Alonzo Moses, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-09.