Manley, Mary Beth
Manley, Mary Beth is an sole proprietor health care provider with primary practice located at 238 Jewett Ave , Bridgeport CT 06606-2845. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Manley, Mary Beth can be contacted via phone (203) 372-4301.Contact Information
Primary practice address
238 Jewett Ave
Bridgeport CT 06606-2845
Phone: (203) 372-4301
Fax: (203) 373-0835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1992947071 |
|---|---|
| LBN Legal business name | Manley, Mary Beth |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2009 |
| Last updated | Apr 3rd, 2009 - about 15 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 | 1992947071 | NPPES |
| Connecticut | MEDICAID | 004040655 |
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