Hermina, Mona S
Hermina, Mona S is an individual health care provider with primary practice located at 130 2Nd St , Neenah WI 54956-2883. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Hermina, Mona S can be contacted via phone (920) 738-6315.Contact Information
Primary practice address
130 2Nd St
Neenah WI 54956-2883
Phone: (920) 738-6315
Fax: (920) 729-3031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 42234-020 | Wisconsin |
Profile Details
| NPI number | 1811978224 |
|---|---|
| LBN Legal business name | Hermina, Mona S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2005 |
| Last updated | Jun 4th, 2014 - about 12 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 | 1811978224 | NPPES |
| Wisconsin | MEDICAID | 34050800 |
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