Mendonca, Shawn James
Mendonca, Shawn James is an individual health care provider with primary practice located at 2296 Opitz Blvd Ste 350 , Woodbridge VA 22191-3346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mendonca, Shawn James can be contacted via phone (703) 680-2111.Contact Information
Primary practice address
2296 Opitz Blvd Ste 350
Woodbridge VA 22191-3346
Phone: (703) 680-2111
Fax: (703) 878-3939
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 297137 | New York |
Allopathic & Osteopathic Physicians / Urology | 208800000X | MD471068 | Pennsylvania |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 0101280217 | Virginia |
Profile Details
NPI number | 1619219052 |
---|---|
LBN Legal business name | Mendonca, Shawn James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2013 |
Last updated | Apr 25th, 2024 - about last year |
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 | 1619219052 | NPPES |
New York | Other | 297137 | LICENSE |
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