Mendenhall, Shaun Douglas
Mendenhall, Shaun Douglas is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Mendenhall, Shaun Douglas can be contacted via phone (215) 590-2208.Contact Information
Primary practice address
3401 Civic Center Blvd
Philadelphia PA 19104-4319
Phone: (215) 590-2208
Fax: (215) 590-2496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 10742767-1205 | Utah |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 10742767-1205 | Utah |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 10742767-1205 | Utah |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD460847 | Pennsylvania |
Profile Details
| NPI number | 1023305018 |
|---|---|
| LBN Legal business name | Mendenhall, Shaun Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2011 |
| Last updated | Nov 29th, 2021 - about 5 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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