Mcmonigle, Justin C

Mcmonigle, Justin C is an individual health care provider with primary practice located at 2305 Green Valley Rd , New Albany IN 47150-4649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mcmonigle, Justin C can be contacted via phone (812) 949-0405.

Contact Information

Primary practice address
2305 Green Valley Rd New Albany IN 47150-4649
Fax: (812) 949-0445
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01060399A Indiana

Profile Details

NPI number 1306805205
LBN Legal business name Mcmonigle, Justin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Mar 11th, 2014 - about 10 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 1306805205 NPPES
Indiana MEDICAID 200525870

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