Manilla, Philip

Manilla, Philip is an individual health care provider with primary practice located at 3701 Landsdowne Dr , Ashland KY 41102-5422. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Manilla, Philip can be contacted via phone (606) 324-3005.

Contact Information

Primary practice address
3701 Landsdowne Dr Ashland KY 41102-5422
Fax: (606) 329-1530
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 102962 Kentucky

Profile Details

NPI number 1669578399
LBN Legal business name Manilla, Philip
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Feb 7th, 2019 - 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 1669578399 NPPES
Other 00000286533 ANTHEM BCBS
Other 11738942 ANTHEM BCBS
Other 000516911 ANTHEM BCBS
Other APPROVED ANTHEM BCBS
MEDICAID 710281010 ANTHEM BCBS
Other 610661987 ANTHEM BCBS

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