Moxon, Richard Lee
Moxon, Richard Lee is an individual health care provider with primary practice located at 93 S Pioneer Rd Ste 200 , Fond Du Lac WI 54936-1776. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moxon, Richard Lee can be contacted via phone (920) 907-1283.Contact Information
Primary practice address
93 S Pioneer Rd Ste 200
Fond Du Lac WI 54936-1776
Phone: (920) 907-1283
Fax: (920) 907-1285
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 3019 | Wisconsin |
Profile Details
NPI number | 1437289972 |
---|---|
LBN Legal business name | Moxon, Richard Lee |
Credentials | DC CCEP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 6th, 2007 |
Last updated | Jun 14th, 2018 - about 6 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 | 1437289972 | NPPES |
Wisconsin | MEDICAID | 38880600 |
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