Provider Demographics
NPI:1558438614
Name:MOON-HOYT, CATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:MOON-HOYT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-4126
Mailing Address - Country:US
Mailing Address - Phone:605-225-9311
Mailing Address - Fax:605-225-9723
Practice Address - Street 1:310 S 1ST ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4126
Practice Address - Country:US
Practice Address - Phone:605-225-9311
Practice Address - Fax:605-225-9723
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDC592OtherDAKOTA CARE
SD7600920Medicaid
SD22314OtherSIOUX VALLEY
SD0080108OtherBCBS
SDC592OtherDAKOTA CARE
SD0080108OtherBCBS