Casanova, Manual A.

Casanova, Manual A. is an individual health care provider with primary practice located at 90 Jackson Pike , Gallipolis OH 45631-1560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Casanova, Manual A. can be contacted via phone (740) 446-5709.

Contact Information

Primary practice address
90 Jackson Pike Gallipolis OH 45631-1560
Phone: (740) 446-5709
Fax: (740) 446-5697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35-04-1898 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15247 West Virginia

Profile Details

NPI number 1225080203
LBN Legal business name Casanova, Manual A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 11th, 2010 - about 14 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 1225080203 NPPES
Ohio Other 000000193267 UNISON MEDICAID
Ohio MEDICAID 0118150000 UNISON MEDICAID
Ohio Other 000000007167 UNISON MEDICAID
Ohio Other 001714053 UNISON MEDICAID
Ohio Other 0465296 UNISON MEDICAID
Ohio Other 300028173 UNISON MEDICAID

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