Moore, Jason Nicholas

Moore, Jason Nicholas is an sole proprietor health care provider with primary practice located at 4008 Gateway Dr Suite 180, Colleyville TX 76034-7914. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Moore, Jason Nicholas can be contacted via phone (817) 358-0209.

Contact Information

Primary practice address
4008 Gateway Dr Suite 180 Colleyville TX 76034-7914
Phone: (817) 358-0209
Fax: (817) 358-0219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 10451 Texas

Profile Details

NPI number 1396823084
LBN Legal business name Moore, Jason Nicholas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Mar 17th, 2008 - about 16 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 1396823084 NPPES
Texas Other 8AP440 BLUE CROSS BLUE SHEILDS

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