JIMMY MOON NPI 1992170211

NPI Information

NPI: 1992170211
Provider Name: JIMMY MOON
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
16541 SWEETWATER DR
MILTON, DE
ZIP 19968
Phone: (302) 500-0950
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Jimmy Moon is a home modifications contractor in Milton, DE. Jimmy Moon NPI is 1992170211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16541 SWEETWATER DR
MILTON, DE
ZIP 19968-062
Phone: (302) 500-0950

The enumeration date for this NPI number is 12/11/2015 and was last updated on 12/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications	2015102773	DELAWARE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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