Fundzak, Monica T

Fundzak, Monica T is an individual health care provider with primary practice located at 2500 Metrohealth Dr Mhmc-Pediatrics, Cleveland OH 44109-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Fundzak, Monica T can be contacted via phone (216) 778-5937.

Contact Information

Primary practice address
2500 Metrohealth Dr Mhmc-Pediatrics Cleveland OH 44109-1900
Phone: (216) 778-5937
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X NP02410 Ohio

Profile Details

NPI number 1588696546
LBN Legal business name Fundzak, Monica T
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1588696546 NPPES
Ohio MEDICAID 2164956

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