Mendoza, Sheon H
Mendoza, Sheon H is an sole proprietor health care provider with primary practice located at 969 Lakeland Dr , Jackson MS 39216-4606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mendoza, Sheon H can be contacted via phone (601) 200-4644.Contact Information
Primary practice address
969 Lakeland Dr
Jackson MS 39216-4606
Phone: (601) 200-4644
Fax: (601) 200-5929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 255655 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 255655 | New York |
Profile Details
| NPI number | 1114256260 |
|---|---|
| LBN Legal business name | Mendoza, Sheon H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2009 |
| Last updated | May 25th, 2016 - about 10 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 | 1114256260 | NPPES |
| Mississippi | Other | P01232541 | RAILROAD MEDICARE |
| Mississippi | MEDICAID | 03976531 | RAILROAD MEDICARE |
Popular Providers
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