Mancher, Kenneth Eli

Mancher, Kenneth Eli is an individual health care provider with primary practice located at 17 Westerman Ave , Seymour CT 06483-3320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Mancher, Kenneth Eli can be contacted via phone (203) 881-0400.

Contact Information

Primary practice address
17 Westerman Ave Seymour CT 06483-3320
Phone: (203) 881-0400
Fax: (203) 881-2708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 025678 Connecticut

Profile Details

NPI number 1255348025
LBN Legal business name Mancher, Kenneth Eli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated May 31st, 2013 - about 11 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 1255348025 NPPES
Connecticut MEDICAID 001256783
Connecticut Other 0796894
Connecticut Other 001070
Connecticut Other 010025678
Connecticut Other P402416
Connecticut Other 759954

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