Marques, Roger Mendes
Marques, Roger Mendes is an individual health care provider with primary practice located at 12 Penns Trail Suite 154, Newtown PA 18940-3438. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Marques, Roger Mendes can be contacted via phone (215) 675-3005.Contact Information
Primary practice address
12 Penns Trail Suite 154
Newtown PA 18940-3438
Phone: (215) 675-3005
Fax: (888) 662-0859
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC005633 | Pennsylvania |
Profile Details
NPI number | 1366471559 |
---|---|
LBN Legal business name | Marques, Roger Mendes |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2006 |
Last updated | Oct 12th, 2012 - about 12 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 | 1366471559 | NPPES |
Pennsylvania | MEDICAID | 0019062040005 | |
Pennsylvania | Other | 2046669000 | |
Pennsylvania | Other | 1354313 | |
Pennsylvania | Other | 480033946 |
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