Biddle, Monica L

Biddle, Monica L is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Biddle, Monica L can be contacted via phone (573) 632-5510.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 632-5510
Fax: (573) 632-5810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 091432 Missouri

Profile Details

NPI number 1396859153
LBN Legal business name Biddle, Monica L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Feb 10th, 2016 - about 10 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 1396859153 NPPES
Missouri MEDICAID 425440500

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