Mendieta, Richard J.

Mendieta, Richard J. is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mendieta, Richard J. can be contacted via phone (740) 446-5371.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Phone: (740) 446-5371
Fax: (740) 446-5711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19317 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.072682 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-07-2682 Ohio

Profile Details

NPI number 1821045204
LBN Legal business name Mendieta, Richard J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Nov 4th, 2020 - about 6 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 1821045204 NPPES
Ohio Other 310917085028 CARESOURCE MEDICAID
Ohio MEDICAID 0111033000 CARESOURCE MEDICAID
Ohio Other 000000007410 CARESOURCE MEDICAID
Ohio Other 000000181967 CARESOURCE MEDICAID
Ohio Other 2037718 CARESOURCE MEDICAID
Ohio Other 370008914 CARESOURCE MEDICAID
Ohio Other 001714096 CARESOURCE MEDICAID

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