Monckton, Laurance
Monckton, Laurance is an individual health care provider with primary practice located at 4 Memorial Dr Ste 230, Alton IL 62002-6751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Monckton, Laurance can be contacted via phone (618) 462-3191.Contact Information
Primary practice address
4 Memorial Dr Ste 230
Alton IL 62002-6751
Phone: (618) 462-3191
Fax: (618) 462-3379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036074993 | Illinois |
Profile Details
| NPI number | 1770590523 |
|---|---|
| LBN Legal business name | Monckton, Laurance |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Nov 13th, 2012 - about 14 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 | 1770590523 | NPPES |
| Illinois | MEDICAID | 0360749932 |
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