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Dr. Jason Dewitt Moore, DC
Chiropractor in Williston, North Dakota
NPI 1629532734

Jason Dewitt Moore is a Chiropractor based in Williston, ND. Jason Dewitt Moore practices in Williston, ND and has the professional credentials of DC. The NPI Number for Jason Dewitt Moore is 1629532734 and holds a License No. 1087 (North Dakota).

The current practice location address for Jason Dewitt Moore is 2204 2Nd Ave W Ste 102, Williston, ND and can be reached out via phone at 701-577-7771.

Location: 2204 2Nd Ave W Ste 102, Williston, ND, 58801-3485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629532734
Provider Name
Jason Dewitt Moore
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2204 2Nd Ave W Ste 102, Williston, ND, 58801-3485
Phone Number
701-577-7771
Fax Number
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1087 01 ND CHIROPRACTIC STATE BOARD
institution
Provider Business Practice Location Address Details
Address
2204 2Nd Ave W Ste 102
City
Williston
State
North Dakota
Zip
58801-3485
Phone Number
701-577-7771
Fax Number
person
Provider Business Mailing Address Details
Address
2204 2Nd Ave W Ste 102
City
Williston
State
North Dakota
Zip
58801-3485
Phone Number
701-577-7771
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1087 (North Dakota)
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.
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