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NPI Code Detail

MEDICARE: ZACKARY R MOORE DC

MEDICARE:   ZACKARY R MOORE  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor08003563AIN

General Provider Information

NPI Number : 1003771288
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACKARY R MOORE DC
Provider Business Mailing Address
First Line : 822 W WHITE RIVER BLVD
Second Line :
City : MUNCIE
State : IN
Zip : 47303-3868
Country : US
Telephone Number : 765-288-4769
Fax Number : 765-284-8595
Provider Business Practice Location Address
First Line : 822 W WHITE RIVER BLVD
Second Line :
City : MUNCIE
State : IN
Zip : 47303-3868
Country : US
Telephone Number : 765-288-4769
Fax Number : 765-284-8595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “ ZACKARY R MOORE DC” Practice Location

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