Mendoza, Tricia Poblete
Mendoza, Tricia Poblete is an sole proprietor health care provider with primary practice located at 333 Borthwick Ave Ste 100 , Portsmouth NH 03801-4198. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is her primary health care specialty. Mendoza, Tricia Poblete can be contacted via phone (603) 436-5110.Contact Information
Primary practice address
333 Borthwick Ave Ste 100
Portsmouth NH 03801-4198
Phone: (603) 436-5110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 246874 | New York |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 14388 | New Hampshire |
Profile Details
| NPI number | 1568648897 |
|---|---|
| LBN Legal business name | Mendoza, Tricia Poblete |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2008 |
| Last updated | Feb 12th, 2024 - about 7 months 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 | 1568648897 | NPPES |
| New Hampshire | Other | 14388 | NH LICENSE |
| New Hampshire | MEDICAID | 03061869 | NH LICENSE |
| New Hampshire | MEDICAID | 3098096 | NH LICENSE |
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