Roach, Mona S.I.
Roach, Mona S.I. is an individual health care provider with primary practice located at 1285 Nininger Rd , Hastings MN 55033-1086. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roach, Mona S.I. can be contacted via phone (651) 480-4200.Contact Information
Primary practice address
1285 Nininger Rd
Hastings MN 55033-1086
Phone: (651) 480-4200
Fax: (651) 480-4306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 40336 | Minnesota |
Profile Details
| NPI number | 1619946282 |
|---|---|
| LBN Legal business name | Roach, Mona S.I. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Mar 11th, 2021 - about 3 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 | 1619946282 | NPPES |
| Minnesota | Other | 080004370 | RAILROAD MEDICARE |
| Minnesota | Other | 11R00R0 | RAILROAD MEDICARE |
| Minnesota | Other | 01-02679 | RAILROAD MEDICARE |
| Minnesota | Other | 764806 | RAILROAD MEDICARE |
| Minnesota | Other | 66-02253 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 32397200 | RAILROAD MEDICARE |
| Minnesota | MEDICAID | 833224000 | RAILROAD MEDICARE |
| Minnesota | Other | HP23823 | RAILROAD MEDICARE |
| Minnesota | Other | 120927 | RAILROAD MEDICARE |
| Minnesota | Other | 32397200 | RAILROAD MEDICARE |
| Minnesota | Other | NA9141014618 | RAILROAD MEDICARE |
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