Dissadee, Mana
Dissadee, Mana is an individual health care provider with primary practice located at 1415 E Kincaid St , Mount Vernon WA 98274-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dissadee, Mana can be contacted via phone (360) 428-2600.Contact Information
Primary practice address
1415 E Kincaid St
Mount Vernon WA 98274-4126
Phone: (360) 428-2600
Fax: (360) 814-8390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M-2041 | Guam |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD61395772 | Washington |
Profile Details
| NPI number | 1720390206 |
|---|---|
| LBN Legal business name | Dissadee, Mana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2010 |
| Last updated | Aug 3rd, 2023 - about 2 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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