Monte, Mark A

Monte, Mark A is an individual health care provider with primary practice located at 920 E 1St St Ste P302, Duluth MN 55805-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Monte, Mark A can be contacted via phone (218) 249-6050.

Contact Information

Primary practice address
920 E 1St St Ste P302 Duluth MN 55805-2201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40076 Minnesota

Profile Details

NPI number 1164472692
LBN Legal business name Monte, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 4th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164472692 NPPES
Minnesota MEDICAID 816018000

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