Provider Demographics
NPI:1477610517
Name:MOORE FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:MOORE FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:BELLINGS MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-984-0011
Mailing Address - Street 1:26 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4169
Mailing Address - Country:US
Mailing Address - Phone:973-984-0011
Mailing Address - Fax:973-984-0010
Practice Address - Street 1:26 ELM ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4169
Practice Address - Country:US
Practice Address - Phone:973-984-0011
Practice Address - Fax:973-984-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00361700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU88320Medicare UPIN
053741Medicare PIN