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Individual
DR. IMANUEL MORENINGS
Active
Individual
DR. IMANUEL MORENINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000510
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124256
—
TN
01
—
058407
ANTHEM B/C B/S #
VA
01
—
1281720001
ADMINASTAR
VA
01
—
295687100
US DEPARTMENT OF LABOR #
VA
01
—
3500014411
RAILROAD MEDICARE
VA
05
—
8930236
—
VA
01
—
VA0102
JOHN DEERE
VA
Enumeration date
06/20/2005
Last updated
08/12/2010
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