Menendez, Jose

Menendez, Jose is an individual health care provider with primary practice located at 2303 Village Dr , St Joseph MO 64506-4954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Menendez, Jose can be contacted via phone (816) 232-4417.

Contact Information

Primary practice address
2303 Village Dr St Joseph MO 64506-4954
Phone: (816) 232-4417
Fax: (816) 671-0961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X R4J41 Missouri

Profile Details

NPI number 1952378176
LBN Legal business name Menendez, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952378176 NPPES
Missouri MEDICAID 203030176
Missouri MEDICAID 100288780D

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