| Moos Family Chiropractic | |
|
517 S 5th St Bismarck ND 58504-5702 | |
| (701) 258-4653 | |
| (701) 258-5410 |
| Full Name | Moos Family Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 517 S 5th St, Bismarck, North Dakota |
| Authorized Official Name and Position | Aaron Robert Moos (CHIROPRACTOR) |
| Authorized Official Contact | 7012854653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moos Family Chiropractic 517 S 5th St Bismarck ND 58504-5702 Ph: (701) 258-4653 | Moos Family Chiropractic 517 S 5th St Bismarck ND 58504-5702 Ph: (701) 258-4653 |
| NPI Number | 1316580343 |
|---|---|
| Provider Enumeration Date | 10/22/2019 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Medicare PECOS PAC ID | 0042551129 |
|---|---|
| Medicare Enrollment ID | O20191211002404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316580343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Aaron Robert Moos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619074218 PECOS PAC ID: 3870485907 Enrollment ID: I20191211002460 |
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