Manahan, Ferdinand J

Manahan, Ferdinand J is an individual health care provider with primary practice located at 239 Penn Avenue Forum Plaza , Scranton PA 18503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Manahan, Ferdinand J can be contacted via phone (570) 346-6170.

Contact Information

Primary practice address
239 Penn Avenue Forum Plaza Scranton PA 18503
Phone: (570) 346-6170
Fax: (570) 346-2575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD043284E Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD043284E Pennsylvania

Profile Details

NPI number 1104805126
LBN Legal business name Manahan, Ferdinand J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1104805126 NPPES
Pennsylvania MEDICAID 1165195
Pennsylvania Other 505518
Pennsylvania Other 0669043
Pennsylvania Other 440302
Pennsylvania Other 38078

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