Moon, Pat
Moon, Pat is an sole proprietor health care provider with primary practice located at 2333 Dulles Station Blvd Apt I-201 , Herndon VA 20171-6398. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moon, Pat can be contacted via phone (626) 660-5383.Contact Information
Primary practice address
2333 Dulles Station Blvd Apt I-201
Herndon VA 20171-6398
Phone: (626) 660-5383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810005192 | Virginia |
Profile Details
| NPI number | 1073990404 |
|---|---|
| LBN Legal business name | Moon, Pat |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2015 |
| Last updated | May 6th, 2015 - about 11 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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