Mann, Andrea Pax

Mann, Andrea Pax is an individual health care provider with primary practice located at 2054 South Green Road , South Euclid OH 44121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Mann, Andrea Pax can be contacted via phone (216) 291-9210.

Contact Information

Primary practice address
2054 South Green Road South Euclid OH 44121
Phone: (216) 291-9210
Fax: (216) 291-9422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 34-00-8060-M Ohio
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 3400806 Ohio

Profile Details

NPI number 1487751046
LBN Legal business name Mann, Andrea Pax
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Mar 30th, 2012 - 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 1487751046 NPPES
Ohio MEDICAID 2408693

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