Mercado, Melchor

Mercado, Melchor is an sole proprietor health care provider with primary practice located at 1501 Claus Rd , Modesto CA 95355. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mercado, Melchor can be contacted via phone (419) 783-7880.

Contact Information

Primary practice address
1501 Claus Rd Modesto CA 95355
Phone: (419) 783-7880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 35071066 Ohio
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C53189 California

Profile Details

NPI number 1750374104
LBN Legal business name Mercado, Melchor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Nov 3rd, 2023 - about 2 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 1750374104 NPPES
Other 260044712 RAILROAD
Other 000000142657 RAILROAD
MEDICAID 2018391 RAILROAD

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