Provider Demographics
NPI:1295771632
Name:MCGUINNESS, MOIRA (DC)
Entity type:Individual
Prefix:DR
First Name:MOIRA
Middle Name:
Last Name:MCGUINNESS
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 1:1308 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4740
Mailing Address - Country:US
Mailing Address - Phone:302-425-4440
Mailing Address - Fax:302-425-4499
Practice Address - Street 1:1308 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4740
Practice Address - Country:US
Practice Address - Phone:302-425-4440
Practice Address - Fax:302-425-4499
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG00125Medicare ID - Type UnspecifiedGROUP
DEU72280Medicare UPIN
DE000F87T25Medicare ID - Type UnspecifiedINDIVIDUAL