MEDICARE: DR. JACK ALONZO MOSES JR. D.C.

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
1	111N00000X	Chiropractor	2301008704	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0E01692	OTHER	MI	BLUECROSS

General Provider Information

NPI Number	:	1538154620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACK ALONZO MOSES JR. D.C.

Provider Business Mailing Address
First Line	:	PO BOX 183051
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48318-3051
Country	:	US
Telephone Number	:	586-323-5060
Fax Number	:	586-323-5062

Provider Business Practice Location Address
First Line	:	51210 ROMEO PLANK RD
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48042-4129
Country	:	US
Telephone Number	:	586-323-5060
Fax Number	:	586-323-5062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	09/09/2011

Similar Medicare Providers

1639394190 — JOSEPH ANTHINY RUGGIRELLO DDS
Practice Location Address:

51218 ROMEO PLANK RD
MACOMB, MI
48042-4129

Practice Phone: 586-677-7944
Practice Fax:

1538398748 — GREAT LAKES SCOLIOSIS CENTER, P.C.
Practice Location Address:

51210 ROMEO PLANK RD
MACOMB, MI
48042-4129

Practice Phone: 586-365-8988
Practice Fax:

1114258217 — GUTIERREZ CHIROPRACTIC LLC
Practice Location Address:

51210 ROMEO PLANK RD
MACOMB, MI
48042-4129

Practice Phone: 586-677-7966
Practice Fax: 586-677-7956

1093158669 — MACOMB-SHELBY DENTAL
Practice Location Address:

51210 ROMEO PLANK RD
MACOMB, MI
48042-4129

Practice Phone: 586-677-7944
Practice Fax:

1497170948 — CAMBRIDGE DENTISTRY
Practice Location Address:

51218 ROMEO PLANK RD
MACOMB, MI
48042-4129

Practice Phone: 586-677-7944
Practice Fax: 586-677-7956

1487303335 — ATHLETICO LTD
Practice Location Address:

51242 ROMEO PLANK RD
MACOMB, MI
48042-4129

Practice Phone: 586-265-2520
Practice Fax: 586-238-3722

Directions to “ DR. JACK ALONZO MOSES JR. D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.