Moon, Joon-Shik

Moon, Joon-Shik is an individual health care provider with primary practice located at 921 Ne 13Th St , Oklahoma City OK 73104-5007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Moon, Joon-Shik can be contacted via phone (405) 456-3235.

Contact Information

Primary practice address
921 Ne 13Th St Oklahoma City OK 73104-5007
Fax: (405) 456-1504
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 102375 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 26756 Oklahoma

Profile Details

NPI number 1518074780
LBN Legal business name Moon, Joon-Shik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jan 30th, 2024 - about last year

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 1518074780 NPPES
Minnesota MEDICAID 963468000

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