Ford, Monique La Vette

Ford, Monique La Vette is an sole proprietor health care provider with primary practice located at 5351 Glen Canyon Rd , Raleigh NC 27616-5866. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Ford, Monique La Vette can be contacted via phone (419) 450-9811.

Contact Information

Primary practice address
5351 Glen Canyon Rd Raleigh NC 27616-5866
Phone: (419) 450-9811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X RN278711 Ohio
Nursing Service Providers / Registered Nurse 163W00000X 230578 North Carolina

Profile Details

NPI number 1043337496
LBN Legal business name Ford, Monique La Vette
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Jan 21st, 2013 - about 11 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 1043337496 NPPES
Ohio MEDICAID 2408102

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