Mendelsohn, Audra Krystell
Mendelsohn, Audra Krystell is an individual health care provider with primary practice located at 101 Bodin Cir 60Mdg/Sgoc, Travis Afb CA 94535-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Mendelsohn, Audra Krystell can be contacted via phone (206) 553-9317.Contact Information
Primary practice address
101 Bodin Cir 60Mdg/Sgoc
Travis Afb CA 94535-1809
Phone: (206) 553-9317
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01071564A | Indiana |
Profile Details
| NPI number | 1053600924 |
|---|---|
| LBN Legal business name | Mendelsohn, Audra Krystell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2011 |
| Last updated | Feb 10th, 2014 - about 11 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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