De La Serna, Manuel Low

De La Serna, Manuel Low is an individual health care provider with primary practice located at 960 W Wooster St Suite 101, Bowling Green OH 43402-2644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. De La Serna, Manuel Low can be contacted via phone (419) 352-1404.

Contact Information

Primary practice address
960 W Wooster St Suite 101 Bowling Green OH 43402-2644
Fax: (419) 354-4323
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35035987 Ohio

Profile Details

NPI number 1316052673
LBN Legal business name De La Serna, Manuel Low
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated May 12th, 2016 - about 8 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 1316052673 NPPES
Ohio MEDICAID 0222619

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