Moon, Tabitha

Moon, Tabitha is an individual health care provider with primary practice located at 1732 S Kelly Ave , Edmond OK 73013-3630. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Moon, Tabitha can be contacted via phone (405) 844-8085.

Contact Information

Primary practice address
1732 S Kelly Ave Edmond OK 73013-3630
Phone: (405) 844-8085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1841674900
LBN Legal business name Moon, Tabitha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2015
Last updated Jul 17th, 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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