Mendenhall, Teresa M.
Mendenhall, Teresa M. is an individual health care provider with primary practice located at 3550 Highway 468 W , Pearl MS 39208-5529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mendenhall, Teresa M. can be contacted via phone (601) 351-8000.Contact Information
Primary practice address
3550 Highway 468 W
Pearl MS 39208-5529
Phone: (601) 351-8000
Fax: (601) 351-8301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11750 | Mississippi |
Profile Details
| NPI number | 1275566697 |
|---|---|
| LBN Legal business name | Mendenhall, Teresa M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Dec 2nd, 2010 - about 16 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 | 1275566697 | NPPES |
| Mississippi | MEDICAID | 00017760 |
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