Moncrief, Petra Beatrice Rosemarie

Moncrief, Petra Beatrice Rosemarie is an individual health care provider with primary practice located at 1276 N Palm Canyon Dr Ste 208 , Palm Springs CA 92262-4430. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Moncrief, Petra Beatrice Rosemarie can be contacted via phone (760) 325-7776.

Contact Information

Primary practice address
1276 N Palm Canyon Dr Ste 208 Palm Springs CA 92262-4430
Fax: (760) 406-4015
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC8945 California

Profile Details

NPI number 1861447336
LBN Legal business name Moncrief, Petra Beatrice Rosemarie
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 29th, 2021 - about 3 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 1861447336 NPPES
California Other CA0089450 BLUE SHIELD PIN

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