Manegold, Mark A

Manegold, Mark A is an individual health care provider with primary practice located at 3219 Clifton Ave Ste 330 , Cincinnati OH 45220-2452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Manegold, Mark A can be contacted via phone (513) 853-9250.

Contact Information

Primary practice address
3219 Clifton Ave Ste 330 Cincinnati OH 45220-2452
Phone: (513) 853-9250
Fax: (513) 281-1908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35-051751 Ohio

Profile Details

NPI number 1396749891
LBN Legal business name Manegold, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jun 28th, 2023 - 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 1396749891 NPPES
Ohio Other 100010946 RAILROAD MEDICARE
Ohio MEDICAID 0737920 RAILROAD MEDICARE

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