Monponbanua, Aileen Hidalgo
Monponbanua, Aileen Hidalgo is an individual health care provider with primary practice located at 601 S Carr Rd Suite 100, Renton WA 98055-5866. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Monponbanua, Aileen Hidalgo can be contacted via phone (425) 227-3700.Contact Information
Primary practice address
601 S Carr Rd Suite 100
Renton WA 98055-5866
Phone: (425) 227-3700
Fax: (425) 227-3106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00041464 | Washington |
Profile Details
| NPI number | 1639162456 |
|---|---|
| LBN Legal business name | Monponbanua, Aileen Hidalgo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | May 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639162456 | NPPES |
| Washington | MEDICAID | 8370397 |
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