Mendieta, Jose M

Mendieta, Jose M is an individual health care provider with primary practice located at 250 E Liberty St Suite902, Louisville KY 40202-1530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mendieta, Jose M can be contacted via phone (502) 587-9140.

Contact Information

Primary practice address
250 E Liberty St Suite902 Louisville KY 40202-1530
Phone: (502) 587-9140
Fax: (502) 587-9142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 24590 Kentucky

Profile Details

NPI number 1356311138
LBN Legal business name Mendieta, Jose M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Feb 22nd, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356311138 NPPES
Indiana MEDICAID 100351690A
Indiana MEDICAID 64245905

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