Mendoza, Jordan Holly

Mendoza, Jordan Holly is an individual health care provider with primary practice located at 11245 Huron St , Westminster CO 80234-2806. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mendoza, Jordan Holly can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
11245 Huron St Westminster CO 80234-2806
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 054231 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1154646990
LBN Legal business name Mendoza, Jordan Holly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2010
Last updated Apr 27th, 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 1154646990 NPPES
Colorado Other 024747 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 25009371 KAISER COMMERCIAL NUMBER

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