Monroe, John
Monroe, John is an individual health care provider with primary practice located at 1 Shaws Cv , New London CT 06320-4902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Monroe, John can be contacted via phone (860) 447-8304.Contact Information
Primary practice address
1 Shaws Cv
New London CT 06320-4902
Phone: (860) 447-8304
Fax: (860) 443-8720
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 033009 | Connecticut |
Profile Details
NPI number | 1508863226 |
---|---|
LBN Legal business name | Monroe, John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2005 |
Last updated | Dec 6th, 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 | 1508863226 | NPPES |
Connecticut | MEDICAID | 008010088 |
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