Manista, Andrew Philip
Manista, Andrew Philip is an individual health care provider with primary practice located at 404 Yauger Way Sw Suite 100, Olympia WA 98502-8660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Manista, Andrew Philip can be contacted via phone (360) 786-8990.Contact Information
Primary practice address
404 Yauger Way Sw Suite 100
Olympia WA 98502-8660
Phone: (360) 786-8990
Fax: (360) 786-9010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | P17178 | Maryland |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD60023058 | Washington |
Profile Details
| NPI number | 1316084056 |
|---|---|
| LBN Legal business name | Manista, Andrew Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Oct 2nd, 2008 - about 16 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 | 1316084056 | NPPES |
| Washington | MEDICAID | 8521981 | |
| Washington | Other | MD60023058 |
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