Individual
DR. JACK ALONZO MOSES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
51210 ROMEO PLANK RD, MACOMB, MI 48042-4129
(586) 323-5060
(586) 323-5062
Mailing address
PO BOX 183051, SHELBY TOWNSHIP, MI 48318-3051
(586) 323-5060
(586) 323-5062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01692
BLUECROSS
MI
Enumeration date
09/14/2005
Last updated
09/09/2011
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