Mcmain, Monica Lynn

Mcmain, Monica Lynn is an individual health care provider with primary practice located at 1694 W Logansport Rd , Peru IN 46970-3149. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcmain, Monica Lynn can be contacted via phone (765) 472-2519.

Contact Information

Primary practice address
1694 W Logansport Rd Peru IN 46970-3149
Phone: (765) 472-2519
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000943A Indiana

Profile Details

NPI number 1558385047
LBN Legal business name Mcmain, Monica Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 6th, 2011 - about 15 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 1558385047 NPPES
Indiana MEDICAID 200318840

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