Manley, Eddie A
Manley, Eddie A is an sole proprietor health care provider with primary practice located at 175 Stateline Rd , Oak Grove KY 42262-8288. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Manley, Eddie A can be contacted via phone (931) 302-9564.Contact Information
Primary practice address
175 Stateline Rd
Oak Grove KY 42262-8288
Phone: (931) 302-9564
Fax: (844) 750-0655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3006470 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 15072 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5005075 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3006470 | Kentucky |
Profile Details
| NPI number | 1538482773 |
|---|---|
| LBN Legal business name | Manley, Eddie A |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2010 |
| Last updated | Apr 29th, 2018 - about 7 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 | 1538482773 | NPPES |
| Tennessee | Other | 15072 | TENNESSE LICENSE NUMBER APRN |
| Tennessee | Other | 3006470 | TENNESSE LICENSE NUMBER APRN |
| Tennessee | MEDICAID | 7100138050 | TENNESSE LICENSE NUMBER APRN |
| Tennessee | Other | 5005075 | TENNESSE LICENSE NUMBER APRN |
Popular Providers
-
Cummins, Mary Kay
609 Liberty St , Clay Center KS 67432-1564 -
Kolton, Kathryn A
53-59 Public Sq Ste 301, Watertown NY 13601-2674 -
Brandenburg, Gregory H
101 West Main Street , Vine Grove KY 40175-1302 -
Close, Richard
Memorial Hospital West 703 N. Flamingo Road, Pembroke Pines FL 33028 -
Duffy, Margaret
407 E Main St , Marshalltown IA 50158-1928 -
Milam, Lisa D
3601 The Vanderbilt Clinic , Nashville TN 37232-2845 -
Hagemann, Brenda Kay
701 Lewiston St , Cottonwood ID 83522-9750 -
Staton, Peggy
2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569