Moon, Timothy Hoon
Moon, Timothy Hoon is an sole proprietor health care provider with primary practice located at 91-2141 Fort Weaver Rd , Ewa Beach HI 96706-1993. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moon, Timothy Hoon can be contacted via phone (808) 691-3000.Contact Information
Primary practice address
91-2141 Fort Weaver Rd
Ewa Beach HI 96706-1993
Phone: (808) 691-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MTL-2017-080 | Guam |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A138833 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-2073 | Guam |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MTL-2017-080 | Guam |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M-2073 | Guam |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M-14568 | Idaho |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-22072 | Hawaii |
Profile Details
| NPI number | 1346654290 |
|---|---|
| LBN Legal business name | Moon, Timothy Hoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2014 |
| Last updated | Apr 19th, 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 | 1346654290 | NPPES |
| Hawaii | MEDICAID | 002163 |
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