Mendelson, Bruce
Mendelson, Bruce is an individual health care provider with primary practice located at 849 Ne 7Th Street Tai Grants Pass, Grants Pass OR 97526-1634. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mendelson, Bruce can be contacted via phone (541) 479-0765.Contact Information
Primary practice address
849 Ne 7Th Street Tai Grants Pass
Grants Pass OR 97526-1634
Phone: (541) 479-0765
Fax: (541) 479-3461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4573 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2220 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1104808955 |
|---|---|
| LBN Legal business name | Mendelson, Bruce |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1104808955 | NPPES |
| Oregon | MEDICAID | 297999 |
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