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
Phone: (812) 949-0405
Fax: (812) 949-0445
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306805205 | NPPES |
Indiana | MEDICAID | 200525870 |
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