Mendiola, Antonio F
Mendiola, Antonio F is an individual health care provider with primary practice located at 1827 Greenwood Rd , Prescott MI 48756-8626. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mendiola, Antonio F can be contacted via phone (989) 873-6200.Contact Information
Primary practice address
1827 Greenwood Rd
Prescott MI 48756-8626
Phone: (989) 873-6200
Fax: (989) 873-5563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 046416 | Michigan |
Profile Details
| NPI number | 1659379915 |
|---|---|
| LBN Legal business name | Mendiola, Antonio F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jan 23rd, 2017 - about 9 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 | 1659379915 | NPPES |
| Michigan | MEDICAID | 3038010 |
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