Moon, Christopher J

Moon, Christopher J is an individual health care provider with primary practice located at 14408 E Sprague Ave , Spokane Valley WA 99216-2167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moon, Christopher J can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
14408 E Sprague Ave Spokane Valley WA 99216-2167
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00044571 Washington

Profile Details

NPI number 1831182096
LBN Legal business name Moon, Christopher J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Nov 24th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831182096 NPPES
Washington MEDICAID 8433427

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