Pesavento, Monica J
Pesavento, Monica J is an individual health care provider with primary practice located at 319 S Main St , River Falls WI 54022-2452. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pesavento, Monica J can be contacted via phone (715) 425-6701.Contact Information
Primary practice address
319 S Main St
River Falls WI 54022-2452
Phone: (715) 425-6701
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME98845 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51672 | Wisconsin |
Profile Details
| NPI number | 1700064110 |
|---|---|
| LBN Legal business name | Pesavento, Monica J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2008 |
| Last updated | Feb 8th, 2022 - about 4 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 | 1700064110 | NPPES |
| Wisconsin | MEDICAID | 35314200 |
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