Moon, William A

Moon, William A is an individual health care provider with primary practice located at 1241 S Parker Rd #202, Denver CO 80231-2159. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Moon, William A can be contacted via phone (303) 337-3623.

Contact Information

Primary practice address
1241 S Parker Rd #202 Denver CO 80231-2159
Phone: (303) 337-3623
Fax: (303) 337-3695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 13766 Colorado

Profile Details

NPI number 1922077197
LBN Legal business name Moon, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1922077197 NPPES
Colorado MEDICAID 01137660

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