Mendeszoon, Mark J

Mendeszoon, Mark J is an individual health care provider with primary practice located at 150 7Th Ave Ste 200 , Chardon OH 44024-2909. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Mendeszoon, Mark J can be contacted via phone (440) 285-4999.

Contact Information

Primary practice address
150 7Th Ave Ste 200 Chardon OH 44024-2909
Phone: (440) 285-4999
Fax: (402) 855-8704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.002895 Ohio

Profile Details

NPI number 1356328538
LBN Legal business name Mendeszoon, Mark J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Nov 2nd, 2023 - about last year

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 1356328538 NPPES
Ohio Other 5392066 AETNA
Ohio Other 139660 AETNA
Ohio MEDICAID 0180094 AETNA
Ohio Other 480023547 AETNA

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