Moon, Heather Michelle

Moon, Heather Michelle is an sole proprietor health care provider with primary practice located at 5091 Todd Rd , Franklin OH 45005-5076. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Moon, Heather Michelle can be contacted via phone (937) 790-6577.

Contact Information

Primary practice address
5091 Todd Rd Franklin OH 45005-5076
Phone: (937) 790-6577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN104587 Ohio

Profile Details

NPI number 1417220153
LBN Legal business name Moon, Heather Michelle
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2012
Last updated Feb 10th, 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 1417220153 NPPES
Ohio Other PN104587 BOARD OF NURSING

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