Mendoza, Mary Beth Lennox
Mendoza, Mary Beth Lennox is an individual health care provider with primary practice located at 410 Malcolm Dr Suite A, Westminster MD 21157-6160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Mendoza, Mary Beth Lennox can be contacted via phone (410) 876-1633.Contact Information
Primary practice address
410 Malcolm Dr Suite A
Westminster MD 21157-6160
Phone: (410) 876-1633
Fax: (410) 840-2100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | C01911 | Maryland |
Profile Details
| NPI number | 1194786186 |
|---|---|
| LBN Legal business name | Mendoza, Mary Beth Lennox |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 29th, 2014 - about 12 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 | 1194786186 | NPPES |
| Maryland | Other | P00250839 | R/R MEDICARE PROVIDER # |
| Maryland | Other | 970005976 | R/R MEDICARE PROVIDER # |
| Maryland | Other | CN6601 | R/R MEDICARE PROVIDER # |
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