Monohan, Michael W

Monohan, Michael W is an individual health care provider with primary practice located at 1220 E. Polston Ave , Post Falls ID 83854. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Monohan, Michael W can be contacted via phone (208) 773-1577.

Contact Information

Primary practice address
1220 E. Polston Ave Post Falls ID 83854
Fax: (208) 773-8585
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X O-0392 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O-0392 Idaho

Profile Details

NPI number 1942298054
LBN Legal business name Monohan, Michael W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 5th, 2023 - 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 1942298054 NPPES
Idaho MEDICAID 807435000
Idaho Other 8932815

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