Ice, Monique R

Ice, Monique R is an individual health care provider with primary practice located at 1 Hurley Plz # Ed , Flint MI 48503-5902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ice, Monique R can be contacted via phone (810) 262-9429.

Contact Information

Primary practice address
1 Hurley Plz # Ed Flint MI 48503-5902
Phone: (810) 262-9429
Fax: (810) 262-9104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35-086356 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301089423 Michigan

Profile Details

NPI number 1992721641
LBN Legal business name Ice, Monique R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated May 11th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992721641 NPPES
Ohio MEDICAID 2594241
Ohio Other P00266147

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