Jo, Walter Moon
Jo, Walter Moon is an individual health care provider with primary practice located at 14 Research Pl , N Chelmsford MA 01863-2412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jo, Walter Moon can be contacted via phone (978) 256-6607.Contact Information
Primary practice address
14 Research Pl
N Chelmsford MA 01863-2412
Phone: (978) 256-6607
Fax: (978) 250-8189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 150611 | Massachusetts |
Profile Details
| NPI number | 1043250004 |
|---|---|
| LBN Legal business name | Jo, Walter Moon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Mar 29th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043250004 | NPPES |
| Massachusetts | MEDICAID | 3176223 |
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