Doctor Name: | ANDREA B MOSES |
NPI Number: | 1205807682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | F10000425 |
Business Practice Address: | 3105 Limestone Rd Suite 303 Wilmington, DE - 198082147 |
Business Phone Number: | 3029939113 |
Business Fax Number: | 3029930313 |
Mailing Address: | 3105 Limestone Rd, Suite 303 WILMINGTON |
State: | DE |
Postal Code: | 198082147 |
Phone Number: | 3029939113 |
Fax Number: | 3029930313 |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 12/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | F10000425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |