Mendoza, Izaac Victor
Mendoza, Izaac Victor is an sole proprietor health care provider with primary practice located at 200 Patrick Blvd Suite 250 , Brookfield WI 53045. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Mendoza, Izaac Victor can be contacted via phone (888) 754-0398.Contact Information
Primary practice address
200 Patrick Blvd Suite 250
Brookfield WI 53045
Phone: (888) 754-0398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1205520160 |
|---|---|
| LBN Legal business name | Mendoza, Izaac Victor |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2023 |
| Last updated | Jun 5th, 2023 - about 3 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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