| NPI | 1932345634 |
|---|---|
| Professional Name | JACK MORAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 0105150) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2007031078) |
| 111N00000X Chiropractor (Licence: TX 08000) | |
| 111N00000X Chiropractor (Licence: AK 134) | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2011-12-30 |