Mendez Vigo, Mark

Mendez Vigo, Mark is an individual health care provider with primary practice located at 143 Garden Homes Dr , Colville WA 99114-9229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mendez Vigo, Mark can be contacted via phone (509) 684-3701.

Contact Information

Primary practice address
143 Garden Homes Dr Colville WA 99114-9229
Phone: (509) 684-3701
Fax: (509) 684-5817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD00023934 Washington

Profile Details

NPI number 1760470702
LBN Legal business name Mendez Vigo, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Oct 28th, 2014 - about 10 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 1760470702 NPPES
Other 50510 L&I
MEDICAID 8105017 L&I
Other 8924175 L&I

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