Gary Carl Moore
Rehabilitation Chiropractor
256 Roskovensky Rd
Latrobe
, Pennsylvania 15650-5489
Gary Carl Moore
Rehabilitation Chiropractor
256 Roskovensky Rd
Latrobe
, Pennsylvania 15650-5489
(724) 532-5303
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Gary Carl Moore
- 256 Roskovensky Rd
- Latrobe, PA
- Zip : 15650-5489
- Fax : (724) 532-5303
- Phone : (724) 454-9500
Second Address
- Gary Carl Moore
- 256 Roskovensky Rd
- Latrobe, PA
- Zip : 15650-5489
- Fax : (724) 532-5303
- Phone : (724) 454-9500
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | DC-001546-L | PA |
National Provider Identifier
| NPI | 1316016967 |
|---|---|
| Provider Name | Gary Carl Moore |
| First Address | Latrobe, PA 15650-5489 |
| Second Address | Latrobe, PA 15650-5489 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0006348610003 | (05) | PA |
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.