Mendoza, Jose E
Mendoza, Jose E is an individual health care provider with primary practice located at 1813 Nagel Rd Ste 500 , Avon OH 44011-6401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mendoza, Jose E can be contacted via phone (440) 937-4600.Contact Information
Primary practice address
1813 Nagel Rd Ste 500
Avon OH 44011-6401
Phone: (440) 937-4600
Fax: (440) 937-4605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35-06-6480-M | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35066480 | Ohio |
Profile Details
| NPI number | 1578533659 |
|---|---|
| LBN Legal business name | Mendoza, Jose E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Aug 29th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578533659 | NPPES |
| Ohio | Other | 5619197341C96 | BLUECROSS BLUESHIELD |
| Ohio | MEDICAID | 0974594 | BLUECROSS BLUESHIELD |
| Ohio | MEDICAID | 3025372 | BLUECROSS BLUESHIELD |
| Ohio | MEDICAID | 0236248 | BLUECROSS BLUESHIELD |
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