Healthcare Provider Details

I. General information

NPI: 1184885766
Provider Name (Legal Business Name): MOORE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9787 N 91ST ST SUITE 101
SCOTTSDALE AZ
85258-5088
US

IV. Provider business mailing address

9787 N 91ST ST SUITE 101
SCOTTSDALE AZ
85258-5088
US

V. Phone/Fax

Practice location:
  • Phone: 480-860-8300
  • Fax: 480-860-8398
Mailing address:
  • Phone: 480-860-8300
  • Fax: 480-860-8398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7194
License Number StateAZ

VIII. Authorized Official

Name: CHANCE H MOORE
Title or Position: PHYSICIAN
Credential: DC
Phone: 480-860-8300