Mendheim, Kathleen
Mendheim, Kathleen is an individual health care provider with primary practice located at 287 Healthwest Dr , Dothan AL 36303-2031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mendheim, Kathleen can be contacted via phone (334) 792-9500.Contact Information
Primary practice address
287 Healthwest Dr
Dothan AL 36303-2031
Phone: (334) 792-9500
Fax: (334) 793-1815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1-110354 | Alabama |
Profile Details
| NPI number | 1174873772 |
|---|---|
| LBN Legal business name | Mendheim, Kathleen |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2012 |
| Last updated | Apr 30th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174873772 | NPPES |
| Alabama | Other | 511-57591 | BC/BS AL |
| Alabama | Other | 511-57583 | BC/BS AL |
| Alabama | Other | 1-110354 | BC/BS AL |
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