Mento, Richard Stavros

Mento, Richard Stavros is an individual health care provider with primary practice located at 1770 44Th St , Rock Island IL 61201-3916. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mento, Richard Stavros can be contacted via phone (309) 786-7171.

Contact Information

Primary practice address
1770 44Th St Rock Island IL 61201-3916
Phone: (309) 786-7171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X A5287 Iowa
Chiropractic Providers / Chiropractor 111N00000X DC004823L Pennsylvania
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1548457526
LBN Legal business name Mento, Richard Stavros
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Oct 3rd, 2007 - about 19 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 1548457526 NPPES
Iowa MEDICAID 0930446
Iowa Other 8182044
Iowa Other 8126564

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