Mendivil, Jose

Mendivil, Jose is an sole proprietor health care provider with primary practice located at 735 E Fillmore St , Phoenix AZ 85006-3324. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Mendivil, Jose can be contacted via phone (602) 257-4851.

Contact Information

Primary practice address
735 E Fillmore St Phoenix AZ 85006-3324
Fax: (602) 257-4852
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Arizona

Profile Details

NPI number 1083834501
LBN Legal business name Mendivil, Jose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Jul 26th, 2007 - about 17 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.

Request for update

Popular Providers