Moore, Randy E
Moore, Randy E is an individual health care provider with primary practice located at 758 W 100 S , Heber City UT 84032-3739. He recently has only one registered license in Chiropractic Providers / Independent Medical Examiner, which is considered as his primary health care specialty. Moore, Randy E can be contacted via phone (513) 708-0585.Contact Information
Primary practice address
758 W 100 S
Heber City UT 84032-3739
Phone: (513) 708-0585
Fax: (435) 915-7223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Independent Medical Examiner | 111NI0013X | 12108828-1202 | Utah |
Profile Details
| NPI number | 1386213551 |
|---|---|
| LBN Legal business name | Moore, Randy E |
| Credentials | DC RDMSCRMSK |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2021 |
| Last updated | Jun 22nd, 2021 - about 3 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 | 1386213551 | NPPES |
| Utah | Other | 12108828-1202 | CHIROPRACTIC LICENSE |
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