Manilla, Mary

Manilla, Mary is an individual health care provider with primary practice located at 7751 Byron Center Ave Sw Suite C, Byron Center MI 49315-8001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Manilla, Mary can be contacted via phone (616) 267-7668.

Contact Information

Primary practice address
7751 Byron Center Ave Sw Suite C Byron Center MI 49315-8001
Phone: (616) 267-7668
Fax: (616) 267-7941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704285854 Michigan

Profile Details

NPI number 1649726829
LBN Legal business name Manilla, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2016
Last updated Feb 25th, 2021 - 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.

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