Mon, Michelle Diana
Mon, Michelle Diana is an individual health care provider with primary practice located at 3407 Wilkens Ave Ste 410 , Baltimore MD 21229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mon, Michelle Diana can be contacted via phone (443) 574-8500.Contact Information
Primary practice address
3407 Wilkens Ave Ste 410
Baltimore MD 21229
Phone: (443) 574-8500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301109336 | Michigan |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME93526 | Florida |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | D85603 | Maryland |
Profile Details
NPI number | 1639148703 |
---|---|
LBN Legal business name | Mon, Michelle Diana |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Sep 16th, 2019 - about 6 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 | 1639148703 | NPPES |
Florida | Other | 1724199 | CIGNA PROVIDER # |
Florida | MEDICAID | 276170000 | CIGNA PROVIDER # |
Florida | Other | 53238 | CIGNA PROVIDER # |
Florida | Other | 7453614 | CIGNA PROVIDER # |
Florida | Other | CE7138 | CIGNA PROVIDER # |
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