Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethelbert Menchavez

Individual provider Contractor · NPI 1376660019

Ethelbert Menchavez is a Contractor in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

5980 W 71st St Ste 201
Indianapolis, IN 46278-2711
Phone: (317) 388-0800
Fax: (317) 388-0805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 2005001152 (MO)

Record details

NPI number1376660019
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 8, 2007
Mailing address5980 W 71st St, Suite 201, Indianapolis, IN 46278-2711

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