Mendez, Selena
Mendez, Selena is an sole proprietor health care provider with primary practice located at 620 N Pontiac Trl , Walled Lake MI 48390-3448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mendez, Selena can be contacted via phone (248) 624-4511.Contact Information
Primary practice address
620 N Pontiac Trl
Walled Lake MI 48390-3448
Phone: (248) 624-4511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601010742 | Michigan |
Profile Details
| NPI number | 1295491041 |
|---|---|
| LBN Legal business name | Mendez, Selena |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2021 |
| Last updated | Jun 8th, 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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