Manley, Linda K

Manley, Linda K is an individual health care provider with primary practice located at 4750 Hempstead Station Dr , Kettering OH 45429-5164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Manley, Linda K can be contacted via phone (800) 875-0136.

Contact Information

Primary practice address
4750 Hempstead Station Dr Kettering OH 45429-5164
Fax: (619) 619-4381
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP07210 Ohio

Profile Details

NPI number 1447240486
LBN Legal business name Manley, Linda K
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated May 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447240486 NPPES
Ohio MEDICAID 2378118
Ohio MEDICAID 78012093

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