Kos, Monika

Kos, Monika is an sole proprietor health care provider with primary practice located at 325 N Bergin Ln , Bloomfield NM 87413-6729. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Kos, Monika can be contacted via phone (505) 632-4389.

Contact Information

Primary practice address
325 N Bergin Ln Bloomfield NM 87413-6729
Fax: (505) 632-4371
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1780964601
LBN Legal business name Kos, Monika
Credentials PH.D.; NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2011
Last updated Mar 13th, 2012 - about 13 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 1780964601 NPPES
New Mexico MEDICAID 74671073
New Mexico MEDICAID 64434826

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