Mendoza, Marco

Mendoza, Marco is an individual health care provider with primary practice located at 973 Mica Dr Suite 201, Carson City NV 89705-7255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mendoza, Marco can be contacted via phone (775) 783-6190.

Contact Information

Primary practice address
973 Mica Dr Suite 201 Carson City NV 89705-7255
Phone: (775) 783-6190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 125059818 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2016-00148 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17066 Nevada
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A149150 California

Profile Details

NPI number 1255627964
LBN Legal business name Mendoza, Marco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2011
Last updated Aug 11th, 2021 - about 4 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 1255627964 NPPES
North Carolina MEDICAID 1255627964
North Carolina MEDICAID NC2672

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