1851342216 NPI number — MANNING AND ASSOCIATES LLC

Table of content: (NPI 1851342216)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851342216 NPI number — MANNING AND ASSOCIATES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MANNING AND ASSOCIATES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MANNING AND ASSOCIATES PHYSICAL THERAPY
Provider Other Organization Name Type Code:
3
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:
1851342216
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2975
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NANTUCKET
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02584-2975
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-228-8122
Provider Business Mailing Address Fax Number:
508-228-9822

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16D MACY'S LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NANTUCKET
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02554-6063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-228-8122
Provider Business Practice Location Address Fax Number:
508-228-9822
Provider Enumeration Date:
05/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MANNING
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
WILLIAM
Authorized Official Title or Position:
PT/ OWNER
Authorized Official Telephone Number:
508-228-8122

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  15636 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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