Moon, Alice Gail

Moon, Alice Gail is an individual health care provider with primary practice located at 20010 Farmington Rd , Livonia MI 48152-1408. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Moon, Alice Gail can be contacted via phone (248) 471-7171.

Contact Information

Primary practice address
20010 Farmington Rd Livonia MI 48152-1408
Phone: (248) 471-7171
Fax: (248) 471-1212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 577469 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002478 Michigan

Profile Details

NPI number 1790724011
LBN Legal business name Moon, Alice Gail
Credentials MSRD, PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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