Maniscalco, Jack Earl
Maniscalco, Jack Earl is an individual health care provider with primary practice located at 2816 W Virginia Ave Neurological Specialties Neurosurgery Pa, Tampa FL 33607-6330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Maniscalco, Jack Earl can be contacted via phone (813) 876-6321.Contact Information
Primary practice address
2816 W Virginia Ave Neurological Specialties Neurosurgery Pa
Tampa FL 33607-6330
Phone: (813) 876-6321
Fax: (813) 870-0350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME0023743 | Florida |
Profile Details
| NPI number | 1285682872 |
|---|---|
| LBN Legal business name | Maniscalco, Jack Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Oct 6th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285682872 | NPPES |
| Other | 406143136 | RAILROAD MEDICARE | |
| Other | F70917030 | RAILROAD MEDICARE | |
| Other | ME0023743 | RAILROAD MEDICARE | |
| MEDICAID | 059512800 | RAILROAD MEDICARE | |
| Other | 71703 | RAILROAD MEDICARE |
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