Monticciolo, Debra L.
Monticciolo, Debra L. is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Monticciolo, Debra L. can be contacted via phone (603) 650-5000.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-0001
Phone: (603) 650-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | L3405 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 24360 | New Hampshire |
Profile Details
| NPI number | 1972564953 |
|---|---|
| LBN Legal business name | Monticciolo, Debra L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Aug 18th, 2023 - about last year |
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 | 1972564953 | NPPES |
| Texas | MEDICAID | 1477820-01 | |
| Texas | Other | 1477820-02 | |
| Texas | Other | 300127572 | |
| Texas | Other | 8B4709 |
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