Mendala, Jacek Wladyslaw
Mendala, Jacek Wladyslaw is an individual health care provider with primary practice located at 1866 W 85Th Ave Apt. J 275, Merrillville IN 46410-8478. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mendala, Jacek Wladyslaw can be contacted via phone (219) 793-9902.Contact Information
Primary practice address
1866 W 85Th Ave Apt. J 275
Merrillville IN 46410-8478
Phone: (219) 793-9902
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05007301A | Indiana |
Profile Details
NPI number | 1710107172 |
---|---|
LBN Legal business name | Mendala, Jacek Wladyslaw |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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.
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