Moseng, Brent Jerome
Moseng, Brent Jerome is an sole proprietor health care provider with primary practice located at 114 W Hunt Ave , Flagstaff AZ 86001-3041. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moseng, Brent Jerome can be contacted via phone (928) 773-9781.Contact Information
Primary practice address
114 W Hunt Ave
Flagstaff AZ 86001-3041
Phone: (928) 773-9781
Fax: (928) 773-8988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5308 | Arizona |
Profile Details
| NPI number | 1568523132 |
|---|---|
| LBN Legal business name | Moseng, Brent Jerome |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1568523132 | NPPES |
| Arizona | Other | AZ 0932040 | BCBS |
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