Mehall, John Robert
Mehall, John Robert is an individual health care provider with primary practice located at 2222 N. Nevada Avenue Suite 5011, Colorado Springs CO 80907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mehall, John Robert can be contacted via phone (719) 776-7600.Contact Information
Primary practice address
2222 N. Nevada Avenue Suite 5011
Colorado Springs CO 80907
Phone: (719) 776-7600
Fax: (719) 473-3553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 45535 | Colorado |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | K7453 | Texas |
Profile Details
| NPI number | 1164635009 |
|---|---|
| LBN Legal business name | Mehall, John Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Apr 10th, 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 | 1164635009 | NPPES |
| Colorado | MEDICAID | 19150873 |
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