Mancini, Jean Marie

Mancini, Jean Marie is an individual health care provider with primary practice located at 1 Medical Park Blvd Ste 450W, Bristol TN 37620-7430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mancini, Jean Marie can be contacted via phone (423) 968-3713.

Contact Information

Primary practice address
1 Medical Park Blvd Ste 450W Bristol TN 37620-7430
Phone: (423) 968-3713
Fax: (423) 986-7352
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 038379 Tennessee

Profile Details

NPI number 1013914308
LBN Legal business name Mancini, Jean Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 11th, 2014 - 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 1013914308 NPPES
Other 4091342 BCTN
MEDICAID 3896190 BCTN
Other 010105765 BCTN

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