Moses, Jack Alonzo
Moses, Jack Alonzo is an sole proprietor health care provider with primary practice located at 51210 Romeo Plank Rd , Macomb MI 48042-4129. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moses, Jack Alonzo can be contacted via phone (586) 323-5060.Contact Information
Primary practice address
51210 Romeo Plank Rd
Macomb MI 48042-4129
Phone: (586) 323-5060
Fax: (586) 323-5062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301008704 | Michigan |
Profile Details
| NPI number | 1538154620 |
|---|---|
| LBN Legal business name | Moses, Jack Alonzo |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Sep 9th, 2011 - about 13 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 | 1538154620 | NPPES |
| Michigan | Other | 0E01692 | BLUECROSS |
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