Mankins, Gordon S.
Mankins, Gordon S. is an individual health care provider with primary practice located at 5620 E Bell Rd , Scottsdale AZ 85254-5950. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mankins, Gordon S. can be contacted via phone (602) 493-9361.Contact Information
Primary practice address
5620 E Bell Rd
Scottsdale AZ 85254-5950
Phone: (602) 493-9361
Fax: (602) 493-9508
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 252 | Arizona |
Profile Details
NPI number | 1104876101 |
---|---|
LBN Legal business name | Mankins, Gordon S. |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Aug 24th, 2011 - about 13 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 | 1104876101 | NPPES |
Other | 3Z3914 | HEALTHNET ID | |
MEDICAID | 494097 | HEALTHNET ID |
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