Mon, Michelle Diana

Mon, Michelle Diana is an individual health care provider with primary practice located at 3407 Wilkens Ave Ste 410 , Baltimore MD 21229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mon, Michelle Diana can be contacted via phone (443) 574-8500.

Contact Information

Primary practice address
3407 Wilkens Ave Ste 410 Baltimore MD 21229
Phone: (443) 574-8500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301109336 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X ME93526 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X D85603 Maryland

Profile Details

NPI number 1639148703
LBN Legal business name Mon, Michelle Diana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 16th, 2019 - about 7 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 1639148703 NPPES
Florida Other 1724199 CIGNA PROVIDER #
Florida MEDICAID 276170000 CIGNA PROVIDER #
Florida Other 53238 CIGNA PROVIDER #
Florida Other 7453614 CIGNA PROVIDER #
Florida Other CE7138 CIGNA PROVIDER #

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