Mendell, Jerry R

Mendell, Jerry R is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mendell, Jerry R can be contacted via phone (614) 355-3574.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Fax: (614) 722-3273
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35035346 Ohio

Profile Details

NPI number 1235123258
LBN Legal business name Mendell, Jerry R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Feb 4th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235123258 NPPES
Kentucky MEDICAID 64079320
Kentucky MEDICAID 0204899

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