Provider Demographics
NPI:1013172923
Name:ON QUE MEDICAL STAFFING
Entity Type:Organization
Organization Name:ON QUE MEDICAL STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:LARAN
Authorized Official - Last Name:GOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:870-310-6726
Mailing Address - Street 1:909 N 18TH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5744
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:909 N 18TH ST STE 209
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5744
Practice Address - Country:US
Practice Address - Phone:870-310-6726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care