Mullick, Monalisa
Mullick, Monalisa is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Hospitalist Med, Saint Louis MO 63110-1002. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Mullick, Monalisa can be contacted via phone (314) 454-2076.Contact Information
Primary practice address
1 Childrens Pl Div Ped Hospitalist Med
Saint Louis MO 63110-1002
Phone: (314) 454-2076
Fax: (314) 747-8953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 112918 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 112918 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 112918 | Missouri |
Profile Details
| NPI number | 1821189887 |
|---|---|
| LBN Legal business name | Mullick, Monalisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Apr 25th, 2024 - about 5 months 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 | 1821189887 | NPPES |
| Missouri | MEDICAID | 203922208 |
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