Dr. Marty Jacob Moore
Chiropractor
347 W Milltown Rd Suite B
Wooster
, Ohio 44691-7216
Dr. Marty Jacob Moore
Chiropractor
347 W Milltown Rd Suite B
Wooster
, Ohio 44691-7216
(330) 345-1615
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Marty Jacob Moore
- 347 W Milltown Rd Suite B
- Wooster, OH
- Zip : 44691-7216
- Fax : (330) 345-1615
- Phone : (330) 262-6655
Second Address
- Dr. Marty Jacob Moore
- 347 W Milltown Rd Suite B
- Wooster, OH
- Zip : 44691-7216
- Fax : (330) 345-1615
- Phone : (330) 262-6655
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3548 | OH |
National Provider Identifier
| NPI | 1003855198 |
|---|---|
| Provider Name | Dr. Marty Jacob Moore |
| First Address | Wooster, OH 44691-7216 |
| Second Address | Wooster, OH 44691-7216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2006 |
| Last Update Date | 12/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V05205 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.