Manivel, Juan Carlos

Manivel, Juan Carlos is an individual health care provider with primary practice located at 420 Delaware St Se 760 Mayo Bldg, Minneapolis MN 55455-0341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Manivel, Juan Carlos can be contacted via phone (612) 626-0622.

Contact Information

Primary practice address
420 Delaware St Se 760 Mayo Bldg Minneapolis MN 55455-0341
Phone: (612) 626-0622
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 29459 Minnesota

Profile Details

NPI number 1609951771
LBN Legal business name Manivel, Juan Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 9th, 2007 - about 18 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 1609951771 NPPES
Montana MEDICAID 0039975
Montana MEDICAID 0515908
Montana Other 1122550
Montana Other 2T224MA
Montana Other HP22293
Montana Other 1174545
Montana Other 101364
Montana MEDICAID 32455000
Montana MEDICAID 719205300
Montana Other 1009228
Montana Other 768244

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