Mendoza, Rico V I

Mendoza, Rico V I is an sole proprietor health care provider with primary practice located at 2030 N Church Place , Spartanburg SC 29303-2796. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mendoza, Rico V I can be contacted via phone (864) 582-6858.

Contact Information

Primary practice address
2030 N Church Place Spartanburg SC 29303-2796
Phone: (864) 582-6858
Fax: (864) 585-0999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 23156 South Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 23156 South Carolina

Profile Details

NPI number 1861466021
LBN Legal business name Mendoza, Rico V I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Dec 17th, 2015 - about 11 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 1861466021 NPPES
South Carolina MEDICAID 231564
South Carolina Other 8688
South Carolina Other 290014819

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