Moon, Jacki L
Moon, Jacki L is an sole proprietor health care provider with primary practice located at 10519 20Th St. Se Suite # 1, Lake Stevens WA 98258. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Moon, Jacki L can be contacted via phone (425) 397-4900.Contact Information
Primary practice address
10519 20Th St. Se Suite # 1
Lake Stevens WA 98258
Phone: (425) 397-4900
Fax: (425) 397-6900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA00004663 | Washington |
Profile Details
| NPI number | 1629273008 |
|---|---|
| LBN Legal business name | Moon, Jacki L |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Feb 2nd, 2021 - 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.
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