Gremillion, Monica L
Gremillion, Monica L is an individual health care provider with primary practice located at 9000 W Wisconsin Ave # Ms 958 , Milwaukee WI 53226-4874. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gremillion, Monica L can be contacted via phone (414) 266-3133.Contact Information
Primary practice address
9000 W Wisconsin Ave # Ms 958
Milwaukee WI 53226-4874
Phone: (414) 266-3133
Fax: (414) 266-1761
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 3496-57 | Wisconsin |
Profile Details
NPI number | 1376068379 |
---|---|
LBN Legal business name | Gremillion, Monica L |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2017 |
Last updated | Jan 25th, 2021 - about 3 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 | 1376068379 | NPPES |
Wisconsin | MEDICAID | 1376068379 |
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