Moncho, Amelia

Moncho, Amelia is an individual health care provider with primary practice located at 3540 S Boulevard Ste 175 , Edmond OK 73013-5868. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Moncho, Amelia can be contacted via phone (405) 645-9789.

Contact Information

Primary practice address
3540 S Boulevard Ste 175 Edmond OK 73013-5868
Phone: (405) 645-9789
Fax: (405) 259-1023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1144 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1144 Oklahoma

Profile Details

NPI number 1205803863
LBN Legal business name Moncho, Amelia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Mar 31st, 2024 - about last year

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 1205803863 NPPES
Oklahoma MEDICAID 200046120A

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