Moon, Steven L
Moon, Steven L is an individual health care provider with primary practice located at 2708 S Rife Medical Ln Ste 140 , Rogers AR 72758-1455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Moon, Steven L can be contacted via phone (479) 338-3720.Contact Information
Primary practice address
2708 S Rife Medical Ln Ste 140
Rogers AR 72758-1455
Phone: (479) 338-3720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | R4509 | Arkansas |
Profile Details
| NPI number | 1447208590 |
|---|---|
| LBN Legal business name | Moon, Steven L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Sep 20th, 2018 - about 7 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 | 1447208590 | NPPES |
| Arkansas | MEDICAID | 123657001 |
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