MEDICARE: DR. CHRISTOPHER LAWRENCE MOSS 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
1	111N00000X	Chiropractor	0104001164	VA

General Provider Information

NPI Number	:	1851515308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER LAWRENCE MOSS DC

Provider Business Mailing Address
First Line	:	1129 BATTLEFIELD BLVD N
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4735
Country	:	US
Telephone Number	:	757-547-5510
Fax Number	:	757-547-1833

Provider Business Practice Location Address
First Line	:	1129 BATTLEFIELD BLVD N
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4735
Country	:	US
Telephone Number	:	757-547-5510
Fax Number	:	757-547-1833

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	10/01/2014

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