Dickinson, Monique
Dickinson, Monique is an sole proprietor health care provider with primary practice located at 505 S Plummer Ave , Chanute KS 66720-1950. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dickinson, Monique can be contacted via phone (620) 431-2500.Contact Information
Primary practice address
505 S Plummer Ave
Chanute KS 66720-1950
Phone: (620) 431-2500
Fax: (620) 431-4418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 77451 | Kansas |
Profile Details
| NPI number | 1336681386 |
|---|---|
| LBN Legal business name | Dickinson, Monique |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2016 |
| Last updated | Jan 6th, 2017 - about 7 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 | 1336681386 | NPPES |
| Kansas | MEDICAID | 201145440A |
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