Moore, Gary Carl
Moore, Gary Carl is an sole proprietor health care provider with primary practice located at 256 Roskovensky Rd , Latrobe PA 15650-5489. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Moore, Gary Carl can be contacted via phone (724) 454-9500.Contact Information
Primary practice address
256 Roskovensky Rd
Latrobe PA 15650-5489
Phone: (724) 454-9500
Fax: (724) 532-5303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | DC-001546-L | Pennsylvania |
Profile Details
| NPI number | 1316016967 |
|---|---|
| LBN Legal business name | Moore, Gary Carl |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1316016967 | NPPES |
| Pennsylvania | MEDICAID | 0006348610003 |
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