Individual
MARTIN R MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
607 W OAK ST, WEST FRANKFORT, IL 62896-2537
(618) 937-3509
(618) 937-3500
Mailing address
607 W OAK ST, WEST FRANKFORT, IL 62896-2537
(618) 937-3509
(618) 937-3500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009210
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2832034
BLUE CROSS BLUE SHIELD OF ILLINOIS PIN
—
01
—
929137
HEALTHLINK PIN
—
Enumeration date
01/22/2007
Last updated
08/23/2013
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