Mendelson, Jeffrey D.

Mendelson, Jeffrey D. is an individual health care provider with primary practice located at 11900 E 12 Mile Rd Suite 110, Warren MI 48093-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mendelson, Jeffrey D. can be contacted via phone (586) 582-7070.

Contact Information

Primary practice address
11900 E 12 Mile Rd Suite 110 Warren MI 48093-3400
Phone: (586) 582-7070
Fax: (586) 572-7066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301054943 Michigan

Profile Details

NPI number 1396735106
LBN Legal business name Mendelson, Jeffrey D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Oct 22nd, 2008 - about 16 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 1396735106 NPPES
Michigan MEDICAID 3226253
Michigan Other 200E011770

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