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
Phone: (336) 605-1337
Fax: (336) 605-3776
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1467429399 | NPPES |
| Ohio | MEDICAID | 3003654 | |
| Ohio | MEDICAID | 001378240 |
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