Mondak, Richard Wayne
Mondak, Richard Wayne is an individual health care provider with primary practice located at 510 Jamison Ave , Ellwood City PA 16117-2590. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mondak, Richard Wayne can be contacted via phone (724) 716-6742.Contact Information
Primary practice address
510 Jamison Ave
Ellwood City PA 16117-2590
Phone: (724) 716-6742
Fax: (724) 734-5798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA002019L | Pennsylvania |
Profile Details
| NPI number | 1720078017 |
|---|---|
| LBN Legal business name | Mondak, Richard Wayne |
| Credentials | MPAS PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Nov 29th, 2016 - 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.
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