Mendenhall, Shaun Douglas

Mendenhall, Shaun Douglas is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Mendenhall, Shaun Douglas can be contacted via phone (215) 590-2208.

Contact Information

Primary practice address
3401 Civic Center Blvd Philadelphia PA 19104-4319
Phone: (215) 590-2208
Fax: (215) 590-2496
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 10742767-1205 Utah
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 10742767-1205 Utah
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 10742767-1205 Utah
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD460847 Pennsylvania

Profile Details

NPI number 1023305018
LBN Legal business name Mendenhall, Shaun Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2011
Last updated Nov 29th, 2021 - about 4 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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