Menendez, Charles Vaccaro

Menendez, Charles Vaccaro is an individual health care provider with primary practice located at 3109 Bienville Blvd , Ocean Springs MS 39564-4361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Menendez, Charles Vaccaro can be contacted via phone (228) 762-1353.

Contact Information

Primary practice address
3109 Bienville Blvd Ocean Springs MS 39564-4361
Phone: (228) 762-1353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13597 Mississippi

Profile Details

NPI number 1629008974
LBN Legal business name Menendez, Charles Vaccaro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 7th, 2018 - about 8 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 1629008974 NPPES
Mississippi MEDICAID 00117198

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