Mendenhall, Marcia Ann
Mendenhall, Marcia Ann is an individual health care provider with primary practice located at 1100 Patterson Rd , Grand Junction CO 81506-8219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mendenhall, Marcia Ann can be contacted via phone (970) 244-6100.Contact Information
Primary practice address
1100 Patterson Rd
Grand Junction CO 81506-8219
Phone: (970) 244-6100
Fax: (970) 255-1809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1713 | Colorado |
Profile Details
| NPI number | 1780680405 |
|---|---|
| LBN Legal business name | Mendenhall, Marcia Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Nov 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780680405 | NPPES |
| Colorado | MEDICAID | 39583244 |
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