Individual
DR. JASON ALAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2511 3RD AVE, HUNTINGTON, WV 25703-2809
(304) 523-7891
(304) 523-7894
Mailing address
2511 3RD AVE, HUNTINGTON, WV 25703-1614
(304) 523-7891
(304) 523-7894
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
819
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001016
—
WV
Enumeration date
11/20/2006
Last updated
05/07/2015
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