Mendyk, Laura L
Mendyk, Laura L is an individual health care provider with primary practice located at 753 N Main St , Oregon WI 53575-1003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mendyk, Laura L can be contacted via phone (608) 835-2222.Contact Information
Primary practice address
753 N Main St
Oregon WI 53575-1003
Phone: (608) 835-2222
Fax: (608) 835-1090
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 52963-20 | Wisconsin |
Profile Details
NPI number | 1518180785 |
---|---|
LBN Legal business name | Mendyk, Laura L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2007 |
Last updated | Dec 11th, 2020 - about 5 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 | 1518180785 | NPPES |
Wisconsin | MEDICAID | 1518180785 |
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