Moon, Chang Won

Moon, Chang Won is an individual health care provider with primary practice located at B Co 168 Med Bn , Apo AP 96205. 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, Chang Won can be contacted via phone (315) 741-6650.

Contact Information

Primary practice address

B Co 168 Med Bn Apo AP 96205

Phone: (315) 741-6650

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Other Service Providers / Military Health Care Provider	171000000X	193368	New York

Profile Details

NPI number	1053479964
LBN Legal business name	Moon, Chang Won
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 4th, 2006
Last updated	Jul 8th, 2007 - about 19 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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