Smith, Moon E

Smith, Moon E is an individual health care provider with primary practice located at 1560 Garrett Rd , Upper Darby PA 19082-4505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Smith, Moon E can be contacted via phone (610) 284-3300.

Contact Information

Primary practice address
1560 Garrett Rd Upper Darby PA 19082-4505
Phone: (610) 284-3300
Fax: (610) 284-3706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW008272L Pennsylvania

Profile Details

NPI number 1578600623
LBN Legal business name Smith, Moon E
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jun 8th, 2011 - about 14 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 1578600623 NPPES
Pennsylvania MEDICAID 001250948

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