1699743799 NPI number — STEVEN B MANN PHD

Table of content: STEVEN B MANN PHD (NPI 1699743799)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699743799 NPI number — STEVEN B MANN PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MANN
Provider First Name:
STEVEN
Provider Middle Name:
B
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699743799
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3505 RICHVILLE RD
Provider Second Line Business Mailing Address:
STE B
Provider Business Mailing Address City Name:
MANCHESTER CENTER
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05255-9812
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-865-4500
Provider Business Mailing Address Fax Number:
802-865-4800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3505 RICHVILLE RD
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
MANCHESTER CENTER
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05255-9812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-865-4500
Provider Business Practice Location Address Fax Number:
802-865-4800
Provider Enumeration Date:
03/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  0480000217 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0006573 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




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