MEDICARE: CHARLES S MONIER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	022701	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003909904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES S MONIER MD

Provider Business Mailing Address
First Line	:	504 JACK MILLER ROAD
Second Line	:	SUITE 7
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-5600
Country	:	US
Telephone Number	:	337-363-5150
Fax Number	:	337-506-3986

Provider Business Practice Location Address
First Line	:	504 JACK MILLER ROAD
Second Line	:	SUITE 7
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-5600
Country	:	US
Telephone Number	:	337-363-5150
Fax Number	:	337-506-3986

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	12/30/2009

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Directions to “ CHARLES S MONIER MD” Practice Location

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