Mendez, Jose
Mendez, Jose is an individual health care provider with primary practice located at 17000 Hubbard Dr Ste 800 , Dearborn MI 48126-4205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Mendez, Jose can be contacted via phone (313) 240-7595.Contact Information
Primary practice address
17000 Hubbard Dr Ste 800
Dearborn MI 48126-4205
Phone: (313) 240-7595
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 4301103728 | Michigan |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301103728 | Michigan |
Profile Details
NPI number | 1629020342 |
---|---|
LBN Legal business name | Mendez, Jose |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Aug 6th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629020342 | NPPES |
Michigan | Other | 5315072171 | CS-3 |
Michigan | Other | 5315061566 | CS-3 |
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