Moon, Seong-Jin
Moon, Seong-Jin is an individual health care provider with primary practice located at 1608 S J St Fl 5 , Tacoma WA 98405-4930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Moon, Seong-Jin can be contacted via phone (253) 274-7505.Contact Information
Primary practice address
1608 S J St Fl 5
Tacoma WA 98405-4930
Phone: (253) 274-7505
Fax: (253) 274-7929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD61323136 | Washington |
Profile Details
| NPI number | 1154717528 |
|---|---|
| LBN Legal business name | Moon, Seong-Jin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2015 |
| Last updated | Jan 5th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154717528 | NPPES |
| Washington | MEDICAID | 2154000 |
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