Moon, Jonah Ralph

Moon, Jonah Ralph is an individual health care provider with primary practice located at 1675 E Main St Box 328, Kent OH 44240-5818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Moon, Jonah Ralph can be contacted via phone (330) 593-1049.

Contact Information

Primary practice address
1675 E Main St Box 328 Kent OH 44240-5818
Phone: (330) 593-1049
Fax: (330) 572-3836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35.124095 Ohio

Profile Details

NPI number 1316194574
LBN Legal business name Moon, Jonah Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Aug 29th, 2016 - about 8 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 1316194574 NPPES
Ohio MEDICAID 0109133
Ohio Other P01383997

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