Manguso, Nicholas
Manguso, Nicholas is an individual health care provider with primary practice located at 1500 E 2Nd St Ste 300 , Reno NV 89502-1198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Manguso, Nicholas can be contacted via phone (775) 982-5000.Contact Information
Primary practice address
1500 E 2Nd St Ste 300
Reno NV 89502-1198
Phone: (775) 982-5000
Fax: (775) 982-3900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 137149 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 22231 | Nevada |
Profile Details
| NPI number | 1093199457 |
|---|---|
| LBN Legal business name | Manguso, Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2015 |
| Last updated | Aug 2nd, 2022 - 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 | 1093199457 | NPPES |
| Nevada | Other | 13863245 | CAQH # |
| Nevada | Other | 22231 | CAQH # |
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