Jedediah Moore, D.C.

Chiropractor · Elk River, MN

Individual Active NPI

NPI number 1811246192

Practice location

19332 Highway 169
Elk River, MN 55330-4645
Phone
(763) 441-7788

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NPI record

NPI
1811246192
Entity type
Individual (Type 1)
Enumeration date
September 2, 2012
Last updated
September 2, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 5700 MN

About Dr. Moore

Jedediah Moore, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 19332 Highway 169, Elk River, MN 55330-4645. The NPI number 1811246192 was assigned on September 2, 2012 and the record was last updated on September 2, 2012.

Dr. Moore lists a license in the registry: #5700 (MN) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jedediah Moore, D.C.?

The NPI number is 1811246192.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (763) 441-7788.

Where is Dr. Moore located?

19332 Highway 169, Elk River, MN 55330-4645.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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