Moody, David Leon

Moody, David Leon is an individual health care provider with primary practice located at 9511 Delegates Row , Indianapolis IN 46240-3807. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moody, David Leon can be contacted via phone (317) 571-1480.

Contact Information

Primary practice address
9511 Delegates Row Indianapolis IN 46240-3807
Phone: (317) 571-1480
Fax: (317) 571-1481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001932A Indiana

Profile Details

NPI number 1104895549
LBN Legal business name Moody, David Leon
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 27th, 2012 - about 12 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 1104895549 NPPES
Indiana MEDICAID 200296690A

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