Moon, Sully
Moon, Sully is an sole proprietor health care provider with primary practice located at 1410 N Caufield Ct , Liberty Lake WA 99016-9433. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Moon, Sully can be contacted via phone (360) 525-5996.Contact Information
Primary practice address
1410 N Caufield Ct
Liberty Lake WA 99016-9433
Phone: (360) 525-5996
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1982326914 |
|---|---|
| LBN Legal business name | Moon, Sully |
| Credentials | IP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2022 |
| Last updated | Sep 15th, 2022 - about 4 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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