Jo, Moonsung
Jo, Moonsung is an sole proprietor health care provider with primary practice located at 2510 W Rio Salado Pkwy , Mesa AZ 85201-3603. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Jo, Moonsung can be contacted via phone (617) 755-4569.Contact Information
Primary practice address
2510 W Rio Salado Pkwy
Mesa AZ 85201-3603
Phone: (617) 755-4569
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1488 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT-AT-10171243 | Oregon |
Profile Details
| NPI number | 1023469129 |
|---|---|
| LBN Legal business name | Jo, Moonsung |
| Credentials | MS, ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2016 |
| Last updated | Jun 29th, 2016 - about 10 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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