San Jose-Carlson, Nelia Mendoza

San Jose-Carlson, Nelia Mendoza is an sole proprietor health care provider with primary practice located at 420 Hudgins Rd Suite 204, Fredericksburg VA 22408-4172. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. San Jose-Carlson, Nelia Mendoza can be contacted via phone (814) 591-8455.

Contact Information

Primary practice address
420 Hudgins Rd Suite 204 Fredericksburg VA 22408-4172
Phone: (814) 591-8455
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101245684 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MDO67980L Pennsylvania

Profile Details

NPI number 1831127992
LBN Legal business name San Jose-Carlson, Nelia Mendoza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Apr 14th, 2010 - about 14 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 1831127992 NPPES
Pennsylvania Other 008450693 HIGHMARK BC/BS
Pennsylvania MEDICAID 0017557270002 HIGHMARK BC/BS
Pennsylvania Other 5624399 HIGHMARK BC/BS

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