Family Medical Practice

LBN: Charles D. Manter Do Pc
Family Medical Practice is an health care organization with primary practice located at 2918 W 10Th St , Greeley CO 80634-5457. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Charles D. Manter Do Pc can be contacted via phone (970) 352-3274, or through Manter, Charles David via phone (970) 352-3274.

Contact Information

Primary practice address
2918 W 10Th St Greeley CO 80634-5457
Fax: (970) 352-3279
Website:
Authorized official contact:
Name: Manter, Charles David Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30988 Colorado

Profile Details

NPI number 1457531808
LBN Legal business name Charles D. Manter Do Pc
DBA Doing business as Family Medical Practice
Authorized official Manter, Charles David Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Sep 25th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457531808 NPPES
Colorado MEDICAID 00522830

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