| Doctor Name: | MR. DAVID EARL MOSS |
| NPI Number: | 1679558134 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DC |
| License Number: | 2301004790 |
| Business Practice Address: | 6560 Red Arrow Hwy Coloma, MI - 490388700 |
| Business Phone Number: | 2694685775 |
| Business Fax Number: | 2694683447 |
| Mailing Address: | 6560 Red Arrow Hwy, Po Box 224 COLOMA |
| State: | MI |
| Postal Code: | 490388700 |
| Phone Number: | 2694685775 |
| Fax Number: | 2694683447 |
| NPI Enumeration Date: | 12/07/2005 |
| NPI Last Update Date: | 07/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | 2301004790 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| 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. |