Nealis, Monica J
Nealis, Monica J is an individual health care provider with primary practice located at 1550 Elk Creek Dr , Idaho Falls ID 83404-8322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nealis, Monica J can be contacted via phone (208) 529-5942.Contact Information
Primary practice address
1550 Elk Creek Dr
Idaho Falls ID 83404-8322
Phone: (208) 529-5942
Fax: (208) 529-5951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | RPA-214 | Idaho |
Profile Details
| NPI number | 1073676805 |
|---|---|
| LBN Legal business name | Nealis, Monica J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Apr 20th, 2017 - about 7 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 | 1073676805 | NPPES |
| Idaho | Other | 000010017186 | BLUE SHIELD OF IDAHO |
| Idaho | Other | PAIN1 | BLUE SHIELD OF IDAHO |
| Idaho | MEDICAID | 805023600 | BLUE SHIELD OF IDAHO |
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