Manasco, Anton Travis
Manasco, Anton Travis is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Manasco, Anton Travis can be contacted via phone (919) 350-7270.Contact Information
Primary practice address
3000 New Bern Ave
Raleigh NC 27610-1231
Phone: (919) 350-7270
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 2019-00652 | North Carolina |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2019-00652 | North Carolina |
Profile Details
NPI number | 1447592522 |
---|---|
LBN Legal business name | Manasco, Anton Travis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2013 |
Last updated | Feb 27th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447592522 | NPPES |
North Carolina | MEDICAID | 1447592522 |
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