Moon, Talitha

Moon, Talitha is an sole proprietor health care provider with primary practice located at Sudlager 301 , Apo AE 92249. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Moon, Talitha can be contacted via phone (314) 590-2402.

Contact Information

Primary practice address
Sudlager 301 Apo AE 92249
Phone: (314) 590-2402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 1627 Nebraska
Allopathic & Osteopathic Physicians / General Practice 208D00000X 1627 Nebraska

Profile Details

NPI number 1003208034
LBN Legal business name Moon, Talitha
Credentials DO, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2015
Last updated Dec 4th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003208034 NPPES
Nebraska Other 1627 NEBRASKA MEDICAL LICENSE

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