Mendoza, Jose E

Mendoza, Jose E is an individual health care provider with primary practice located at 1813 Nagel Rd Ste 500 , Avon OH 44011-6401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mendoza, Jose E can be contacted via phone (440) 937-4600.

Contact Information

Primary practice address
1813 Nagel Rd Ste 500 Avon OH 44011-6401
Phone: (440) 937-4600
Fax: (440) 937-4605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35-06-6480-M Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35066480 Ohio

Profile Details

NPI number 1578533659
LBN Legal business name Mendoza, Jose E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Aug 29th, 2022 - about 4 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 1578533659 NPPES
Ohio Other 5619197341C96 BLUECROSS BLUESHIELD
Ohio MEDICAID 0974594 BLUECROSS BLUESHIELD
Ohio MEDICAID 3025372 BLUECROSS BLUESHIELD
Ohio MEDICAID 0236248 BLUECROSS BLUESHIELD

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