Moon, Justin Suk Joo

Moon, Justin Suk Joo is an individual health care provider with primary practice located at 950 E Harvard Ave Ste 570 , Denver CO 80210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Moon, Justin Suk Joo can be contacted via phone (303) 715-9024.

Contact Information

Primary practice address
950 E Harvard Ave Ste 570 Denver CO 80210
Fax: (303) 715-5020
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DR.0046584 Colorado

Profile Details

NPI number 1215019609
LBN Legal business name Moon, Justin Suk Joo
Credentials M.D, M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 9th, 2019 - about 7 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 1215019609 NPPES
Colorado MEDICAID 71524011

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