Moss, Daryl A
Moss, Daryl A is an individual health care provider with primary practice located at 2110 E 25Th St , Idaho Falls ID 83404-6475. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moss, Daryl A can be contacted via phone (208) 524-3018.Contact Information
Primary practice address
2110 E 25Th St
Idaho Falls ID 83404-6475
Phone: (208) 524-3018
Fax: (208) 524-3019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA 896 | Idaho |
Profile Details
| NPI number | 1255494977 |
|---|---|
| LBN Legal business name | Moss, Daryl A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Feb 21st, 2017 - about 8 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 | 1255494977 | NPPES |
| Idaho | Other | C1823 | BLUE CROSS NUMBER |
| Idaho | MEDICAID | 807164600 | BLUE CROSS NUMBER |
| Idaho | Other | 000010028117 | BLUE CROSS NUMBER |
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