Mongan, Philip C
Mongan, Philip C is an sole proprietor health care provider with primary practice located at 1909 Commerce Ave , Cullman AL 35055-6151. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mongan, Philip C can be contacted via phone (256) 734-4688.Contact Information
Primary practice address
1909 Commerce Ave
Cullman AL 35055-6151
Phone: (256) 734-4688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1538317490 |
|---|---|
| LBN Legal business name | Mongan, Philip C |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2008 |
| Last updated | Feb 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538317490 | NPPES |
| Alabama | Other | 515-93732 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 330000025 | BLUE CROSS BLUE SHIELD |
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