Mendez, David Enrique

Mendez, David Enrique is an individual health care provider with primary practice located at 212 Phoenix Ct Suite 1, Seymour TN 37865-3908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mendez, David Enrique can be contacted via phone (865) 577-6475.

Contact Information

Primary practice address
212 Phoenix Ct Suite 1 Seymour TN 37865-3908
Phone: (865) 577-6475
Fax: (865) 577-7942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD35439 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD35439 Tennessee

Profile Details

NPI number 1659316677
LBN Legal business name Mendez, David Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 23rd, 2007 - about 17 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 1659316677 NPPES
Tennessee MEDICAID 3495782
Tennessee Other 4111398
Tennessee MEDICAID 3496790
Tennessee MEDICAID 64060387
Tennessee Other TN0102
Tennessee Other 4050879

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