Monsen, Melvin Douglas
Monsen, Melvin Douglas is an sole proprietor health care provider with primary practice located at 2100 Powell St Ste 900 Cep - Medamerica Credentialing Dept., Emeryville CA 94608-1844. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Monsen, Melvin Douglas can be contacted via phone (510) 350-2676.Contact Information
Primary practice address
2100 Powell St Ste 900 Cep - Medamerica Credentialing Dept.
Emeryville CA 94608-1844
Phone: (510) 350-2676
Fax: (510) 879-9100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA100094 | California |
Profile Details
NPI number | 1487781944 |
---|---|
LBN Legal business name | Monsen, Melvin Douglas |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 28th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1487781944 | NPPES |
Colorado | Other | PA100094 | PHYSICIAN'S ASSISTANT |
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