Moniot, Jennifer Moon
Moniot, Jennifer Moon is an individual health care provider with primary practice located at 360 Lilly Rd Ne #A, Olympia WA 98506-5430. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moniot, Jennifer Moon can be contacted via phone (360) 486-0640.Contact Information
Primary practice address
360 Lilly Rd Ne #A
Olympia WA 98506-5430
Phone: (360) 486-0640
Fax: (360) 486-0641
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 28559 | California |
Profile Details
NPI number | 1306836903 |
---|---|
LBN Legal business name | Moniot, Jennifer Moon |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2005 |
Last updated | Jan 6th, 2016 - about 9 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 | 1306836903 | NPPES |
Washington | Other | 0321478 | L & I |
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