Monahan, Paul P

Monahan, Paul P is an individual health care provider with primary practice located at 18854 Highway 30 , Hagerman ID 83332-6050. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Monahan, Paul P can be contacted via phone (208) 837-4557.

Contact Information

Primary practice address
18854 Highway 30 Hagerman ID 83332-6050
Fax: (630) 604-1735
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G29843 California

Profile Details

NPI number 1891759718
LBN Legal business name Monahan, Paul P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Dec 20th, 2010 - about 16 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 1891759718 NPPES
California MEDICAID 00G298430

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