Moon, Robert Paul

Moon, Robert Paul is an individual health care provider with primary practice located at 4600 Ambassador Caffery Pkwy , Lafayette LA 70508-6902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Moon, Robert Paul can be contacted via phone (337) 521-9239.

Contact Information

Primary practice address
4600 Ambassador Caffery Pkwy Lafayette LA 70508-6902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 04318R Louisiana

Profile Details

NPI number 1831212000
LBN Legal business name Moon, Robert Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Nov 17th, 2007 - about 17 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 1831212000 NPPES
Mississippi MEDICAID 04735083

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