Mejia Acosta, Monica
Mejia Acosta, Monica is an individual health care provider with primary practice located at 8201 E Riverside Blvd , Rockford IL 61114-2300. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Mejia Acosta, Monica can be contacted via phone (815) 971-7000.Contact Information
Primary practice address
8201 E Riverside Blvd
Rockford IL 61114-2300
Phone: (815) 971-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036.119817 | Illinois |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 81613 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME115545 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2009-01565 | North Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036119817 | Illinois |
Profile Details
| NPI number | 1255519120 |
|---|---|
| LBN Legal business name | Mejia Acosta, Monica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2008 |
| Last updated | Jun 28th, 2024 - about 2 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 | 1255519120 | NPPES |
| North Carolina | Other | 2075213 | MEDICARE PTAN, INDIVIDUAL |
| North Carolina | Other | ME115545 | MEDICARE PTAN, INDIVIDUAL |
| North Carolina | Other | 232009 | MEDICARE PTAN, INDIVIDUAL |
| North Carolina | MEDICAID | 5913504 | MEDICARE PTAN, INDIVIDUAL |
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