Mancoll, John S

Mancoll, John S is an sole proprietor health care provider with primary practice located at 2017 Fisher Arch , Virginia Beach VA 23456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Mancoll, John S can be contacted via phone (757) 305-9185.

Contact Information

Primary practice address
2017 Fisher Arch Virginia Beach VA 23456
Fax: (757) 305-9186
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0101054100 Virginia

Profile Details

NPI number 1992706337
LBN Legal business name Mancoll, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Sep 1st, 2022 - about 2 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 1992706337 NPPES
Virginia MEDICAID 1992706337
Virginia MEDICAID 5910870

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