Moon, Jean M

Moon, Jean M is an individual health care provider with primary practice located at 1840 S Stapley Dr Suite 131, Mesa AZ 85204-6681. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moon, Jean M can be contacted via phone (480) 969-5999.

Contact Information

Primary practice address
1840 S Stapley Dr Suite 131 Mesa AZ 85204-6681
Phone: (480) 969-5999
Fax: (480) 926-0852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20256 Arizona

Profile Details

NPI number 1831151562
LBN Legal business name Moon, Jean M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 27th, 2016 - about 9 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 1831151562 NPPES
Arizona Other 136441 AHCCCS
Arizona Other 919828 AHCCCS
Arizona Other AZ0344420 AHCCCS
Arizona Other ZWCLFM04 AHCCCS
Arizona Other 136441 AHCCCS
Arizona Other 1Z1315 AHCCCS

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