Moon, Daniel L

Moon, Daniel L is an individual health care provider with primary practice located at 311 N 4Th St Suite 101, Oakland MD 21550-1371. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Moon, Daniel L can be contacted via phone (301) 334-8171.

Contact Information

Primary practice address
311 N 4Th St Suite 101 Oakland MD 21550-1371
Phone: (301) 334-8171
Fax: (301) 334-1819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R114948 Maryland

Profile Details

NPI number 1255561312
LBN Legal business name Moon, Daniel L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2009
Last updated Sep 5th, 2012 - about 12 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 1255561312 NPPES
Maryland MEDICAID 334403700
Maryland MEDICAID 3810017953

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