Manders, Scott

Manders, Scott is an individual health care provider with primary practice located at 600 18Th St Suite 512, Parkersburg WV 26101-3231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Manders, Scott can be contacted via phone (304) 424-4574.

Contact Information

Primary practice address
600 18Th St Suite 512 Parkersburg WV 26101-3231
Fax: (304) 424-4429
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 21542 West Virginia

Profile Details

NPI number 1508833773
LBN Legal business name Manders, Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1508833773 NPPES
West Virginia MEDICAID 3810000320

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