Manchak, Michael David
Manchak, Michael David is an individual health care provider with primary practice located at 700 1St Ave S , Fargo ND 58103-1802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Manchak, Michael David can be contacted via phone (701) 234-4036.Contact Information
Primary practice address
700 1St Ave S
Fargo ND 58103-1802
Phone: (701) 234-4036
Fax: (701) 234-4050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 13363 | North Dakota |
Profile Details
| NPI number | 1265674873 |
|---|---|
| LBN Legal business name | Manchak, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2009 |
| Last updated | Feb 18th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265674873 | NPPES |
| North Dakota | MEDICAID | 81189 |
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