Mancheno, Mario Anibal
Mancheno, Mario Anibal is an sole proprietor health care provider with primary practice located at 422 Grand Street , Hoboken NJ 07030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mancheno, Mario Anibal can be contacted via phone (201) 656-8743.Contact Information
Primary practice address
422 Grand Street
Hoboken NJ 07030
Phone: (201) 656-8743
Fax: (201) 319-0867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA03336800 | New Jersey |
Profile Details
| NPI number | 1417041013 |
|---|---|
| LBN Legal business name | Mancheno, Mario Anibal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417041013 | NPPES |
| New Jersey | MEDICAID | 3939707 |
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