Mongin, Alan Joseph
Mongin, Alan Joseph is an individual health care provider with primary practice located at 333 Commerce Dr Ste 275 , Crystal Lake IL 60014-3594. He recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Religious Nonmedical Nursing Personnel, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is his primary health care specialty. Mongin, Alan Joseph can be contacted via phone (847) 420-8786.Contact Information
Primary practice address
333 Commerce Dr Ste 275
Crystal Lake IL 60014-3594
Phone: (847) 420-8786
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Chore Provider | 372500000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Nursing Service Related Providers / Religious Nonmedical Nursing Personnel | 374T00000X | ||
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1356945935 |
|---|---|
| LBN Legal business name | Mongin, Alan Joseph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2020 |
| Last updated | Nov 24th, 2020 - about 6 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 | 1356945935 | NPPES |
| Other | 1720530603 | NPI |
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