Plymale, Monica

Plymale, Monica is an individual health care provider with primary practice located at 4401 N Main St , Rockford IL 61103-1277. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Plymale, Monica can be contacted via phone (815) 921-9200.

Contact Information

Primary practice address
4401 N Main St Rockford IL 61103-1277
Phone: (815) 921-9200
Fax: (815) 877-8304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 044010510 Illinois

Profile Details

NPI number 1760830673
LBN Legal business name Plymale, Monica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2016
Last updated Jun 1st, 2016 - about 9 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 1760830673 NPPES
Illinois MEDICAID 366006681

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