Moon, Jesse

Moon, Jesse is an sole proprietor health care provider with primary practice located at 1499 Fair Rd , Statesboro GA 30458-1683. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Medical Technologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Moon, Jesse can be contacted via phone (706) 962-8293.

Contact Information

Primary practice address
1499 Fair Rd Statesboro GA 30458-1683
Phone: (706) 962-8293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1265278667
LBN Legal business name Moon, Jesse
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2024
Last updated Jul 4th, 2024 - about 5 months 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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