Canada, Monique

Canada, Monique is an sole proprietor health care provider with primary practice located at 7 Wilcox Ave , Middletown NY 10940-4911. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Canada, Monique can be contacted via phone (917) 334-9462.

Contact Information

Primary practice address
7 Wilcox Ave Middletown NY 10940-4911
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 33110 New York

Profile Details

NPI number 1629723150
LBN Legal business name Canada, Monique
Credentials MPA, CHES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2022
Last updated Feb 14th, 2022 - 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 1629723150 NPPES
New York Other 33110 CHES ID

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