Moncrief, Aubrey Folsom

Moncrief, Aubrey Folsom is an sole proprietor health care provider with primary practice located at 5470 Stone Ledge Cir , Osage Beach MO 65065-2554. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Moncrief, Aubrey Folsom can be contacted via phone (573) 302-0836.

Contact Information

Primary practice address
5470 Stone Ledge Cir Osage Beach MO 65065-2554
Phone: (573) 302-0836
Fax: (573) 302-0863
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 084548 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-001689 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704131876 Michigan

Profile Details

NPI number 1023101383
LBN Legal business name Moncrief, Aubrey Folsom
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Oct 20th, 2008 - about 17 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 1023101383 NPPES
Missouri MEDICAID 917422107

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