Mendoza, Rico V I
Mendoza, Rico V I is an sole proprietor health care provider with primary practice located at 2030 N Church Place , Spartanburg SC 29303-2796. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mendoza, Rico V I can be contacted via phone (864) 582-6858.Contact Information
Primary practice address
2030 N Church Place
Spartanburg SC 29303-2796
Phone: (864) 582-6858
Fax: (864) 585-0999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 23156 | South Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 23156 | South Carolina |
Profile Details
| NPI number | 1861466021 |
|---|---|
| LBN Legal business name | Mendoza, Rico V I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Dec 17th, 2015 - about 9 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 | 1861466021 | NPPES |
| South Carolina | MEDICAID | 231564 | |
| South Carolina | Other | 8688 | |
| South Carolina | Other | 290014819 |
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