Manestar, Luisa T
Manestar, Luisa T is an sole proprietor health care provider with primary practice located at 1645 S Main St Suite 101, Crossville TN 38555-2908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manestar, Luisa T can be contacted via phone (931) 484-7531.Contact Information
Primary practice address
1645 S Main St Suite 101
Crossville TN 38555-2908
Phone: (931) 484-7531
Fax: (931) 456-9515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 48768 | Tennessee |
Profile Details
| NPI number | 1851426621 |
|---|---|
| LBN Legal business name | Manestar, Luisa T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Sep 19th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851426621 | NPPES |
| Tennessee | Other | 48768 | TN STATE MEDICAL LICENSE |
| Tennessee | Other | 4330620 | TN STATE MEDICAL LICENSE |
| Tennessee | Other | 455420558 | TN STATE MEDICAL LICENSE |
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