Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 022701 | LA |
NPI | 1003909904 |
---|---|
Provider Name | Charles S Monier |
First Address | Ville Platte, LA 70586-5600 |
Second Address | Ville Platte, LA 70586-5600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 30/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1495093 | (05) | LA |
H37761 | (02) |