Mendoza, Pedro G
Mendoza, Pedro G is an sole proprietor health care provider with primary practice located at 300 W Century Ave , Bismarck ND 58503-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mendoza, Pedro G can be contacted via phone (701) 323-9900.Contact Information
Primary practice address
300 W Century Ave
Bismarck ND 58503-1401
Phone: (701) 323-9900
Fax: (701) 323-9911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 5553 | North Dakota |
Profile Details
| NPI number | 1609825132 |
|---|---|
| LBN Legal business name | Mendoza, Pedro G |
| Credentials | M.D. FCCP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Jan 5th, 2011 - about 15 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 | 1609825132 | NPPES |
| North Dakota | MEDICAID | 15689 | |
| North Dakota | Other | N712611 | |
| North Dakota | Other | 12293 | |
| North Dakota | Other | 22774 |
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