Individual
MARLON L MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
206 N CHURCH ST, NEW CARLISLE, OH 40344-0504
(937) 846-1295
(937) 845-5904
Mailing address
PO BOX 504, 206 N CHURCH ST, NEW CARLISLE, OH 45344
(937) 846-1295
(937) 845-5904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0951895
—
OH
Enumeration date
09/06/2006
Last updated
04/24/2008
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