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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447592522 NPPES
North Carolina MEDICAID 1447592522

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