Moore, Jason Dewitt
Moore, Jason Dewitt is an sole proprietor health care provider with primary practice located at 2204 2Nd Ave W Ste 102 , Williston ND 58801-3485. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moore, Jason Dewitt can be contacted via phone (701) 577-7771.Contact Information
Primary practice address
2204 2Nd Ave W Ste 102
Williston ND 58801-3485
Phone: (701) 577-7771
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1087 | North Dakota |
Profile Details
| NPI number | 1629532734 |
|---|---|
| LBN Legal business name | Moore, Jason Dewitt |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2019 |
| Last updated | Mar 16th, 2020 - about 5 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 | 1629532734 | NPPES |
| North Dakota | Other | 1087 | CHIROPRACTIC STATE BOARD |
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