Moore, Bryon R
Moore, Bryon R is an individual health care provider with primary practice located at 1065 N John Young Pkwy , Kissimmee FL 34741-4210. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moore, Bryon R can be contacted via phone (407) 847-4101.Contact Information
Primary practice address
1065 N John Young Pkwy
Kissimmee FL 34741-4210
Phone: (407) 847-4101
Fax: (407) 847-4728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH7700 | Florida |
Profile Details
| NPI number | 1679522734 |
|---|---|
| LBN Legal business name | Moore, Bryon R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jun 22nd, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679522734 | NPPES |
| Florida | Other | 11367032 | CAQH PROVIDER ID |
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