Kwicklis, Monica
Kwicklis, Monica is an individual health care provider with primary practice located at 7785 N State St 3Rd Floor, Lowville NY 13367. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kwicklis, Monica can be contacted via phone (315) 376-5287.Contact Information
Primary practice address
7785 N State St 3Rd Floor
Lowville NY 13367
Phone: (315) 376-5287
Fax: (315) 376-3228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 154134 | New York |
Profile Details
| NPI number | 1154395408 |
|---|---|
| LBN Legal business name | Kwicklis, Monica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jul 14th, 2021 - about 4 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 | 1154395408 | NPPES |
| New York | MEDICAID | 00836562 |
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