Moon Chiropractic Clinic
Organization Active NPI Chiropractor · Fairmount, ND
NPI 1780940221 · NPPES record last updated Apr 10, 2012
Key facts
- NPI
- 1780940221
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- MOON CHIROPRACTIC CLINIC
- Practice address
- 110 Main Ave.
Fairmount, ND 58030 - Phone
- (701) 474-5948
- NPI assigned
- Apr 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Derryl Moon, DC
- Title
- Chiropractor
- Phone
- (701) 474-5948
Practitioners 2
-
Barry Lynn Moon, D.C
-
Derryl E Moon, DC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
110 Main Ave.
Fairmount, ND 58030
Mailing address
PO Box 291
Fairmount, ND 58030-0291
Other providers in Fairmount, ND
All providers in Fairmount, ND · Chiropractor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.