Moore, Michele Kay

Moore, Michele Kay is an sole proprietor health care provider with primary practice located at 7951 Shoal Creek Blvd Ste 230 , Austin TX 78757-7567. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is her primary health care specialty. Moore, Michele Kay can be contacted via phone (512) 459-5523.

Contact Information

Primary practice address
7951 Shoal Creek Blvd Ste 230 Austin TX 78757-7567
Fax: (512) 459-5877
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC4982 Texas
Chiropractic Providers / Sports Physician 111NS0005X 4982 Texas

Profile Details

NPI number 1972521607
LBN Legal business name Moore, Michele Kay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated May 27th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972521607 NPPES
Texas Other 4982 STATE LICENCE
Texas Other 603967 STATE LICENCE
Texas Other 742542662 STATE LICENCE
Texas MEDICAID C06039679 STATE LICENCE

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