Monroe, Linda
Monroe, Linda is an sole proprietor health care provider with primary practice located at 2410 Grape Rd Ste 1 , Mishawaka IN 46545-3015. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Monroe, Linda can be contacted via phone (574) 243-9370.Contact Information
Primary practice address
2410 Grape Rd Ste 1
Mishawaka IN 46545-3015
Phone: (574) 243-9370
Fax: (574) 243-9375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301011586 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040361A | Indiana |
Profile Details
| NPI number | 1003983115 |
|---|---|
| LBN Legal business name | Monroe, Linda |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Dec 13th, 2019 - about 5 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 | 1003983115 | NPPES |
| Indiana | Other | 351877953 | TRICARE PROVIDER NUMBER |
| Indiana | MEDICAID | 100091350C | TRICARE PROVIDER NUMBER |
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