Ross, Alicia Mendez
Ross, Alicia Mendez is an sole proprietor health care provider with primary practice located at 575 Beech St , Holyoke MA 01040-2223. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Ross, Alicia Mendez can be contacted via phone (413) 534-2543.Contact Information
Primary practice address
575 Beech St
Holyoke MA 01040-2223
Phone: (413) 534-2543
Fax: (413) 534-2655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 34125 | Massachusetts |
Profile Details
| NPI number | 1316020829 |
|---|---|
| LBN Legal business name | Ross, Alicia Mendez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316020829 | NPPES |
| Massachusetts | MEDICAID | 1200798 | |
| Massachusetts | Other | 6288726002 | |
| Massachusetts | Other | 034125 | |
| Massachusetts | Other | H10136 | |
| Massachusetts | Other | 034125 |
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