Manfresca, Charles J

Manfresca, Charles J is an individual health care provider with primary practice located at 920 N Hamilton Rd , Gahanna OH 43230-1757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Manfresca, Charles J can be contacted via phone (614) 293-2614.

Contact Information

Primary practice address
920 N Hamilton Rd Gahanna OH 43230-1757
Fax: (614) 293-7001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34004423 Ohio

Profile Details

NPI number 1073576526
LBN Legal business name Manfresca, Charles J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Feb 28th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073576526 NPPES
Ohio MEDICAID 0722418

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