Moon, Jay K

Moon, Jay K is an individual health care provider with primary practice located at 3990 John R St , Detroit MI 48201-2018. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Moon, Jay K can be contacted via phone (313) 745-8521.

Contact Information

Primary practice address
3990 John R St Detroit MI 48201-2018
Phone: (313) 745-8521
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301033588
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301033588 Michigan

Profile Details

NPI number 1558305573
LBN Legal business name Moon, Jay K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Sep 24th, 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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