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
Fax: (510) 879-9100
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487781944 NPPES
Colorado Other PA100094 PHYSICIAN'S ASSISTANT

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