Moncla, Paul R

Moncla, Paul R is an individual health care provider with primary practice located at 1141 N Road St Suite I, Elizabeth City NC 27909-3354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Moncla, Paul R can be contacted via phone (252) 338-0101.

Contact Information

Primary practice address
1141 N Road St Suite I Elizabeth City NC 27909-3354
Phone: (252) 338-0101
Fax: (252) 331-1598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9901580 North Carolina

Profile Details

NPI number 1477533065
LBN Legal business name Moncla, Paul R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Feb 10th, 2011 - about 13 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 1477533065 NPPES
North Carolina Other 56-1474922 TRICARE / CHAMPUS PROV #
North Carolina MEDICAID 5900947 TRICARE / CHAMPUS PROV #
North Carolina Other E3607 TRICARE / CHAMPUS PROV #
North Carolina Other 139K3 TRICARE / CHAMPUS PROV #

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