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
Fax: (413) 534-2655
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316020829 NPPES
Massachusetts MEDICAID 1200798
Massachusetts Other 6288726002
Massachusetts Other 034125
Massachusetts Other H10136
Massachusetts Other 034125

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