Moon, Michael C
Moon, Michael C is an sole proprietor health care provider with primary practice located at 1762 Washington Rd , Washington IL 61571-2278. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Moon, Michael C can be contacted via phone (309) 444-3207.Contact Information
Primary practice address
1762 Washington Rd
Washington IL 61571-2278
Phone: (309) 444-3207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Illinois |
Profile Details
| NPI number | 1629189360 |
|---|---|
| LBN Legal business name | Moon, Michael C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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