Mendley, Susan

Mendley, Susan is an individual health care provider with primary practice located at 22 S Greene St N5W40, Baltimore MD 21201-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Mendley, Susan can be contacted via phone (410) 328-6749.

Contact Information

Primary practice address
22 S Greene St N5W40 Baltimore MD 21201-1544
Fax: (410) 328-6136
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X D55285 Maryland

Profile Details

NPI number 1831131937
LBN Legal business name Mendley, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 6th, 2008 - about 16 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 1831131937 NPPES
Maryland MEDICAID 259304100

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