Mani, Susan

Mani, Susan is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Mani, Susan can be contacted via phone (864) 560-6012.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-6012
Fax: (864) 560-6013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN086518 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 18325 South Carolina

Profile Details

NPI number 1053394486
LBN Legal business name Mani, Susan
Credentials Family Physician (FP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Feb 6th, 2018 - about 6 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 1053394486 NPPES
Arizona MEDICAID 367690
Arizona MEDICAID NP2764

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