Mann, Clinton Thomas
Mann, Clinton Thomas is an individual health care provider with primary practice located at 2432 W Peoria Ave Ste 1114 , Phoenix AZ 85029-4732. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Mann, Clinton Thomas can be contacted via phone (602) 999-0028.Contact Information
Primary practice address
2432 W Peoria Ave Ste 1114
Phoenix AZ 85029-4732
Phone: (602) 999-0028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 86-0586210 | Arizona |
Profile Details
| NPI number | 1699495549 |
|---|---|
| LBN Legal business name | Mann, Clinton Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2022 |
| Last updated | Aug 31st, 2022 - about 3 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 | 1699495549 | NPPES |
| Arizona | Other | D05124188 | IDENTIFICATION CARD |
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