Moses, Johanna Stuart Mary

Moses, Johanna Stuart Mary is an individual health care provider with primary practice located at 6578 New York State Route 12 , Norwich NY 13815-0000. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Moses, Johanna Stuart Mary can be contacted via phone (607) 334-4703.

Contact Information

Primary practice address
6578 New York State Route 12 Norwich NY 13815-0000
Fax: (607) 334-4703
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X004611-1 New York

Profile Details

NPI number 1902982994
LBN Legal business name Moses, Johanna Stuart Mary
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902982994 NPPES
New York Other C04611-2 NYS WORKERS COMPENSATION

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