Craig, Monique Roxanne
Craig, Monique Roxanne is an sole proprietor health care provider with primary practice located at 301 N Prairie Ave Ste 210 , Inglewood CA 90301-4509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Craig, Monique Roxanne can be contacted via phone (310) 677-8545.Contact Information
Primary practice address
301 N Prairie Ave Ste 210
Inglewood CA 90301-4509
Phone: (310) 677-8545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 14143 | California |
Profile Details
| NPI number | 1962557892 |
|---|---|
| LBN Legal business name | Craig, Monique Roxanne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962557892 | NPPES |
| California | Other | PA14143 | CA. P.A LICENSE |
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