Mendius, John Richard
Mendius, John Richard is an individual health care provider with primary practice located at 3883 Airway Drive Suite 201, Santa Rosa CA 95403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mendius, John Richard can be contacted via phone (707) 521-7788.Contact Information
Primary practice address
3883 Airway Drive Suite 201
Santa Rosa CA 95403
Phone: (707) 521-7788
Fax: (707) 521-1309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G40321 | California |
Profile Details
| NPI number | 1295765881 |
|---|---|
| LBN Legal business name | Mendius, John Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Nov 1st, 2013 - about 13 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 | 1295765881 | NPPES |
| California | MEDICAID | 00G403210 |
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