Manfredi, Joseph Andrew

Manfredi, Joseph Andrew is an individual health care provider with primary practice located at 1005 Grove Rd , Greenville SC 29605-4630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Manfredi, Joseph Andrew can be contacted via phone (864) 455-6900.

Contact Information

Primary practice address
1005 Grove Rd Greenville SC 29605-4630
Fax: (864) 255-5619
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 29936 South Carolina
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 29936 South Carolina

Profile Details

NPI number 1053362269
LBN Legal business name Manfredi, Joseph Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jun 14th, 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 1053362269 NPPES
South Carolina MEDICAID 299368
South Carolina MEDICAID GP2315
South Carolina MEDICAID GP1453
South Carolina MEDICAID 29936
South Carolina MEDICAID GP2312

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