Child, Monique L.

Child, Monique L. is an individual health care provider with primary practice located at 603 W Tudor Rd , Anchorage AK 99503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Child, Monique L. can be contacted via phone (907) 522-5437.

Contact Information

Primary practice address
603 W Tudor Rd Anchorage AK 99503
Phone: (907) 522-5437
Fax: (907) 522-5435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036108167 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6196 Alaska

Profile Details

NPI number 1659356343
LBN Legal business name Child, Monique L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Mar 7th, 2023 - about 2 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 1659356343 NPPES
Illinois Other 336069066 CTL SUBS LICENSE
Illinois MEDICAID 036108167 CTL SUBS LICENSE
Illinois Other 43083 CTL SUBS LICENSE
Illinois Other 036108167 CTL SUBS LICENSE
Illinois MEDICAID 1020541 CTL SUBS LICENSE

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