Moon, Mark

Moon, Mark is an individual health care provider with primary practice located at 7707 Paragon Rd Ste 101 , Centerville OH 45459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moon, Mark can be contacted via phone (937) 208-6920.

Contact Information

Primary practice address
7707 Paragon Rd Ste 101 Centerville OH 45459
Phone: (937) 208-6920
Fax: (937) 208-6948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME79597 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.126007 Ohio

Profile Details

NPI number 1437107034
LBN Legal business name Moon, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Oct 5th, 2020 - about 6 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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