Mendoza, David C.

Mendoza, David C. is an individual health care provider with primary practice located at 604 Ann St , Parkersburg WV 26101-5122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mendoza, David C. can be contacted via phone (304) 865-5155.

Contact Information

Primary practice address
604 Ann St Parkersburg WV 26101-5122
Phone: (304) 865-5155
Fax: (304) 865-5156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 18562 West Virginia

Profile Details

NPI number 1255374856
LBN Legal business name Mendoza, David C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 13th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255374856 NPPES
Ohio Other 00361091 RAILROAD MEDICARE
Ohio Other 00891585 RAILROAD MEDICARE
Ohio Other 00368861 RAILROAD MEDICARE
Ohio MEDICAID 0130407000 RAILROAD MEDICARE
Ohio Other 005292138 RAILROAD MEDICARE
Ohio MEDICAID 0276339 RAILROAD MEDICARE

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