DR. CHANNON MARIE MOON D.C. NPI 1588712087

NPI Information

NPI: 1588712087
Provider Name: DR. CHANNON MARIE MOON, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2131 CAMPBELL AVE
SCHENECTADY, NY
ZIP 12306
Phone: (518) 688-0298
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DR. Channon Marie Moon, D.C. is a chiropractor in Schenectady, NY. The provider is 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. DR. Channon Marie Moon, D.C. NPI is 1588712087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2131 CAMPBELL AVE
SCHENECTADY, NY
ZIP 12306-149
Phone: (518) 688-0298
Fax: (518) 372-4258

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		X008648-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BB3011	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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