Monigatti Lake, Neva Marie
Monigatti Lake, Neva Marie is an sole proprietor health care provider with primary practice located at 300 Sierra College Dr Ste 170, Grass Valley CA 95945-5083. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Monigatti Lake, Neva Marie can be contacted via phone (530) 273-4376.Contact Information
Primary practice address
300 Sierra College Dr Ste 170
Grass Valley CA 95945-5083
Phone: (530) 273-4376
Fax: (530) 273-6426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G58310 | California |
Profile Details
| NPI number | 1265487383 |
|---|---|
| LBN Legal business name | Monigatti Lake, Neva Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | Oct 18th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265487383 | NPPES |
| California | Other | 080061188 | RAILROAD MEDICARE |
| California | Other | ZZZ627762 | RAILROAD MEDICARE |
| California | MEDICAID | 00G583100 | RAILROAD MEDICARE |
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