Manbeck, Michael Alan

Manbeck, Michael Alan is an individual health care provider with primary practice located at 17501 Generations Dr , South Bend IN 46635-1589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Manbeck, Michael Alan can be contacted via phone (574) 234-0049.

Contact Information

Primary practice address
17501 Generations Dr South Bend IN 46635-1589
Fax: (574) 251-2861
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01044874A Indiana

Profile Details

NPI number 1649272725
LBN Legal business name Manbeck, Michael Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Jan 21st, 2011 - about 13 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 1649272725 NPPES
Indiana Other 8086388003 CIGNA
Indiana Other 5314205 CIGNA
Indiana MEDICAID 200077210A CIGNA
Indiana Other 100012683 CIGNA
Indiana Other 000000084423 CIGNA

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