Agnes Maria Mendoza in Indianapolis - Contractor
Agnes Maria Mendoza - NPI 1174647812
Agnes Maria Mendoza is a Contractor in Indianapolis, Indiana. Agnes Maria Mendoza practices all healthcare services and medical treatments related to Contractor. The NPI Number for Agnes Maria Mendoza is 1174647812. The last update date is 2007-07-08.
Agnes Maria Mendoza's current location address is 5980 W 71st St, Indianapolis, Indiana. You can contact this provider via phone number 3173880800 and fax number 3173880805. The mailing address for Agnes Maria Mendoza is 5980 W 71st St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agnes Maria Mendoza |
|---|---|
| Address | 5980 W 71st St, Indianapolis, Indiana |
| Phone Number | 3173880800 |
| Fax Number | 3173880805 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174647812 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5980 W 71st St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462782711 |
| Phone Number | 3173880800 |
| Fax Number | 3173880805 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | 05008562A |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Agnes Maria Mendoza?
The Agnes Maria Mendoza has been issued the NPI (National Provider Identifier) 1174647812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Agnes Maria Mendoza is geographically located?
The Agnes Maria Mendoza is physically situated at the following location: 5980 W 71St St, Indianapolis, IN, 462782711.
What is the Agnes Maria Mendoza's specialty and taxonomy code?
The Agnes Maria Mendoza's specialty is Contractor, and the corresponding taxonomy code is 171W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174647812 to Agnes Maria Mendoza?
The Agnes Maria Mendoza received its 1174647812 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.
As of what date were the details pertaining to Agnes Maria Mendoza last refreshed?
The information related to the Agnes Maria Mendoza, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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