Gautam, Manisha

Gautam, Manisha is an individual health care provider with primary practice located at 13301 Gateway Center Dr , Gainesville VA 20155-2984. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Gautam, Manisha can be contacted via phone (571) 261-5061.

Contact Information

Primary practice address
13301 Gateway Center Dr Gainesville VA 20155-2984
Fax: (703) 468-2149
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 0230008055 Virginia

Profile Details

NPI number 1982094488
LBN Legal business name Gautam, Manisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2015
Last updated Feb 4th, 2015 - about 9 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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