Mendel, Jeffrey Brian
Mendel, Jeffrey Brian is an individual health care provider with primary practice located at 180 Otis Street , Newton MA 02465-2524. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Other Service Providers / Specialist is his primary health care specialty. Mendel, Jeffrey Brian can be contacted via phone (617) 237-0374.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 50755 | Massachusetts |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13160 | Rhode Island |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 14769 | New Hampshire |
Profile Details
NPI number | 1326029166 |
---|---|
LBN Legal business name | Mendel, Jeffrey Brian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 9th, 2005 |
Last updated | Nov 29th, 2010 - about 14 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 | 1326029166 | NPPES |
Rhode Island | MEDICAID | JM80923 | |
Rhode Island | Other | J0115302 | |
Rhode Island | MEDICAID | J01153 |
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