Manfredi, Brenda L

Manfredi, Brenda L is an individual health care provider with primary practice located at 6316 Old Oak Ridge Rd Ste E , Greensboro NC 27410-9940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manfredi, Brenda L can be contacted via phone (336) 605-1337.

Contact Information

Primary practice address
6316 Old Oak Ridge Rd Ste E Greensboro NC 27410-9940
Fax: (336) 605-3776
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.094392 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G129943 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2020-00427 North Carolina

Profile Details

NPI number 1467429399
LBN Legal business name Manfredi, Brenda L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Mar 29th, 2021 - about 3 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 1467429399 NPPES
Ohio MEDICAID 3003654
Ohio MEDICAID 001378240

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