Beredo, Rolando Manalo

Beredo, Rolando Manalo is an sole proprietor health care provider with primary practice located at 426 N Jackson St , Jackson MI 49201-1235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Beredo, Rolando Manalo can be contacted via phone (517) 788-6336.

Contact Information

Primary practice address
426 N Jackson St Jackson MI 49201-1235
Phone: (517) 788-6336
Fax: (517) 788-9035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X RB060312 Michigan

Profile Details

NPI number 1093704322
LBN Legal business name Beredo, Rolando Manalo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jul 8th, 2007 - about 18 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 1093704322 NPPES
Michigan Other 420017 PHP
Michigan Other C1796 PHP
Michigan Other 1103863092 PHP
Michigan MEDICAID 4179560 PHP

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