Cazares, Carlos Mendoza
Cazares, Carlos Mendoza is an individual health care provider with primary practice located at 6717 N 59Th Ave , Glendale AZ 85301-3205. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Cazares, Carlos Mendoza can be contacted via phone (623) 939-1411.Contact Information
Primary practice address
6717 N 59Th Ave
Glendale AZ 85301-3205
Phone: (623) 939-1411
Fax: (623) 939-1465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 1700 | Arizona |
Profile Details
| NPI number | 1649237488 |
|---|---|
| LBN Legal business name | Cazares, Carlos Mendoza |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Sep 27th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649237488 | NPPES |
| Arizona | MEDICAID | 213546 | |
| Arizona | Other | Z153225 |
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