Moon, Song Jun
Moon, Song Jun is an sole proprietor health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Lackland Afb TX 78236-5638. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Moon, Song Jun can be contacted via phone (210) 292-1455.Contact Information
Primary practice address
1100 Wilford Hall Loop Bldg 4554
Lackland Afb TX 78236-5638
Phone: (210) 292-1455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1780019539 |
|---|---|
| LBN Legal business name | Moon, Song Jun |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2013 |
| Last updated | Nov 6th, 2020 - about 4 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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