Kumar, Manoj

Kumar, Manoj is an individual health care provider with primary practice located at 611 E Douglas Road, Suite 108 , Mishawaka IN 46545. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Kumar, Manoj can be contacted via phone (574) 968-3520.

Contact Information

Primary practice address
611 E Douglas Road, Suite 108 Mishawaka IN 46545
Phone: (574) 968-3520
Fax: (574) 217-4824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 31001173A Indiana

Profile Details

NPI number 1548242043
LBN Legal business name Kumar, Manoj
Credentials OTR, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Mar 24th, 2017 - about 7 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 1548242043 NPPES
Indiana MEDICAID 201299780
Indiana Other 200332623

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