Monroe, Matthew L

Monroe, Matthew L is an individual health care provider with primary practice located at 98 Poplar St , Blackfoot ID 83221-1758. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Monroe, Matthew L can be contacted via phone (208) 785-4100.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221-1758
Phone: (208) 785-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA649 Idaho

Profile Details

NPI number 1891877858
LBN Legal business name Monroe, Matthew L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 21st, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891877858 NPPES
Other P00313841 RAILROAD MEDICARE

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