Smith, Moon E
Smith, Moon E is an individual health care provider with primary practice located at 1560 Garrett Rd , Upper Darby PA 19082-4505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Smith, Moon E can be contacted via phone (610) 284-3300.Contact Information
Primary practice address
1560 Garrett Rd
Upper Darby PA 19082-4505
Phone: (610) 284-3300
Fax: (610) 284-3706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | MW008272L | Pennsylvania |
Profile Details
| NPI number | 1578600623 |
|---|---|
| LBN Legal business name | Smith, Moon E |
| Credentials | Master of Science in Nursing (MSN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jun 8th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578600623 | NPPES |
| Pennsylvania | MEDICAID | 001250948 |
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