Mendise, Thomas J

Mendise, Thomas J is an individual health care provider with primary practice located at 1 Park West Blvd Suite 200, Akron OH 44320-4218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mendise, Thomas J can be contacted via phone (330) 869-9777.

Contact Information

Primary practice address
1 Park West Blvd Suite 200 Akron OH 44320-4218
Fax: (330) 869-0052
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35082802M Ohio

Profile Details

NPI number 1386693661
LBN Legal business name Mendise, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Nov 18th, 2009 - about 15 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 1386693661 NPPES
Ohio MEDICAID 2528465

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