Manico, Matthew J
Manico, Matthew J is an individual health care provider with primary practice located at 2013 Jefferson St Sw Fl 2 , Roanoke VA 24014-2419. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Manico, Matthew J can be contacted via phone (540) 982-0237.Contact Information
Primary practice address
2013 Jefferson St Sw Fl 2
Roanoke VA 24014-2419
Phone: (540) 982-0237
Fax: (540) 982-2719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110840784 | Virginia |
Profile Details
| NPI number | 1871649921 |
|---|---|
| LBN Legal business name | Manico, Matthew J |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Mar 17th, 2018 - about 7 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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