Mendelson, Vicki R
Mendelson, Vicki R is an individual health care provider with primary practice located at 22454 Chatsford Circuit St , Southfield MI 48034-6240. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mendelson, Vicki R can be contacted via phone (248) 464-2285.Contact Information
Primary practice address
22454 Chatsford Circuit St
Southfield MI 48034-6240
Phone: (248) 464-2285
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601006408 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1699023085 |
|---|---|
| LBN Legal business name | Mendelson, Vicki R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2012 |
| Last updated | Oct 11th, 2022 - about 3 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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