Manimtim, Winston

Manimtim, Winston is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Manimtim, Winston can be contacted via phone (816) 234-3593.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (816) 234-3593
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2000158751 Missouri

Profile Details

NPI number 1477590024
LBN Legal business name Manimtim, Winston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 10th, 2013 - about 11 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 1477590024 NPPES
Missouri Other 62202 COVENTRY
Missouri Other 399160 COVENTRY
Missouri Other 29814041 COVENTRY
Missouri Other 7785745 COVENTRY
Missouri MEDICAID 100381700G COVENTRY
Missouri MEDICAID 205156607 COVENTRY

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