Moon, Michelle M
Moon, Michelle M is an individual health care provider with primary practice located at 747 Broadway , Seattle WA 98122-4379. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Moon, Michelle M can be contacted via phone (206) 386-6000.Contact Information
Primary practice address
747 Broadway
Seattle WA 98122-4379
Phone: (206) 386-6000
Fax: (206) 386-2625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OP60359939 | Washington |
Profile Details
| NPI number | 1659427268 |
|---|---|
| LBN Legal business name | Moon, Michelle M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jan 17th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659427268 | NPPES |
| Washington | MEDICAID | 1659427268 |
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