Moon, Adam Joseph

Moon, Adam Joseph is an sole proprietor health care provider with primary practice located at 1000 Health Center Dr , Mattoon IL 61938-4644. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Student Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Moon, Adam Joseph can be contacted via phone (217) 258-2440.

Contact Information

Primary practice address
1000 Health Center Dr Mattoon IL 61938-4644
Phone: (217) 258-2440
Fax: (217) 258-2186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1316435548 Illinois

Profile Details

NPI number 1316435548
LBN Legal business name Moon, Adam Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2018
Last updated Sep 14th, 2022 - about 3 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.

Request for update

Popular Providers