Mani, Shital V
Mani, Shital V is an individual health care provider with primary practice located at 1200 W Godfrey Ave , Philadelphia PA 19141-3323. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mani, Shital V can be contacted via phone (215) 276-6000.Contact Information
Primary practice address
1200 W Godfrey Ave
Philadelphia PA 19141-3323
Phone: (215) 276-6000
Fax: (215) 276-1329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG002038 | Pennsylvania |
Profile Details
| NPI number | 1427033406 |
|---|---|
| LBN Legal business name | Mani, Shital V |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Aug 1st, 2008 - about 16 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 | 1427033406 | NPPES |
| Massachusetts | MEDICAID | 0700258 | |
| Massachusetts | Other | W16395 | |
| Massachusetts | Other | 469930 | |
| Massachusetts | Other | AA15576 |
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