Proctor, Monja L

Proctor, Monja L is an individual health care provider with primary practice located at 4102 22Nd Pl , Lubbock TX 79410-1122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Proctor, Monja L can be contacted via phone (806) 725-0237.

Contact Information

Primary practice address
4102 22Nd Pl Lubbock TX 79410-1122
Phone: (806) 725-0237
Fax: (806) 725-1030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD00041914 Washington
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X PT13389 North Dakota
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X J7836 Texas

Profile Details

NPI number 1023192747
LBN Legal business name Proctor, Monja L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 3rd, 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 1023192747 NPPES
Washington MEDICAID 8369837
Washington Other 1E9888

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