Moon, Patrick
Moon, Patrick is an sole proprietor health care provider with primary practice located at 420 Northside Dr , Valdosta GA 31602-1802. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Moon, Patrick can be contacted via phone (229) 333-8001.Contact Information
Primary practice address
420 Northside Dr
Valdosta GA 31602-1802
Phone: (229) 333-8001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT013278 | Georgia |
Profile Details
| NPI number | 1982169777 |
|---|---|
| LBN Legal business name | Moon, Patrick |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2019 |
| Last updated | Feb 5th, 2019 - about 7 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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