Medina, Monique Cherie
Medina, Monique Cherie is an individual health care provider with primary practice located at 10710 Charter Dr Ste 300 , Columbia MD 21044-3260. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Medina, Monique Cherie can be contacted via phone (410) 644-1880.Contact Information
Primary practice address
10710 Charter Dr Ste 300
Columbia MD 21044-3260
Phone: (410) 644-1880
Fax: (410) 730-1617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C0004570 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C04570 | Maryland |
Profile Details
| NPI number | 1770869596 |
|---|---|
| LBN Legal business name | Medina, Monique Cherie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2011 |
| Last updated | Sep 1st, 2019 - about 5 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 | 1770869596 | NPPES |
| Maryland | Other | 257075 | JHHC |
| Maryland | Other | 9253775 | JHHC |
| Maryland | Other | 8367541 | JHHC |
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