Mendiola, Daniel Cruz
Mendiola, Daniel Cruz is an individual health care provider with primary practice located at 615 Lilly Rd Ne Ste 240 , Olympia WA 98506-5117. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Other Service Providers / Specialist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is his primary health care specialty. Mendiola, Daniel Cruz can be contacted via phone (360) 413-3850.Contact Information
Primary practice address
615 Lilly Rd Ne Ste 240
Olympia WA 98506-5117
Phone: (360) 413-3850
Fax: (360) 359-4726
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT00000867 | Washington |
Other Service Providers / Specialist | 174400000X | OT00000867 | Washington |
Profile Details
NPI number | 1730380841 |
---|---|
LBN Legal business name | Mendiola, Daniel Cruz |
Credentials | OTRL, CHT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 29th, 2007 |
Last updated | Mar 22nd, 2022 - about 3 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 | 1730380841 | NPPES |
Washington | MEDICAID | 8341299 |
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