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
Fax: (602) 493-9508
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104876101 NPPES
Other 3Z3914 HEALTHNET ID
MEDICAID 494097 HEALTHNET ID

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