Moore, Jeffrey Michael
Moore, Jeffrey Michael is an sole proprietor health care provider with primary practice located at 333 Commerce Dr Ste 175 , Crystal Lake IL 60014-3596. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moore, Jeffrey Michael can be contacted via phone (815) 245-4624.Contact Information
Primary practice address
333 Commerce Dr Ste 175
Crystal Lake IL 60014-3596
Phone: (815) 245-4624
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-004398 | Illinois |
Profile Details
| NPI number | 1538273909 |
|---|---|
| LBN Legal business name | Moore, Jeffrey Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1538273909 | NPPES |
| Illinois | Other | 038-004398 | LISCENSE TO PRACTICE CHIR |
| Illinois | Other | 05632146 | LISCENSE TO PRACTICE CHIR |
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