Moreno, Anthony Jacob

Moreno, Anthony Jacob is an individual health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913-4613. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Moreno, Anthony Jacob can be contacted via phone (563) 459-7178.

Contact Information

Primary practice address
1650 Cochrane Cir Fort Carson CO 80913-4613
Phone: (563) 459-7178
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X CHR.0008410 Colorado

Profile Details

NPI number 1134469760
LBN Legal business name Moreno, Anthony Jacob
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2013
Last updated Oct 4th, 2023 - about last year

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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