Mann, Eric S

Mann, Eric S is an individual health care provider with primary practice located at 4550 Memorial Dr Ste 350 , Belleville IL 62226-5372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mann, Eric S can be contacted via phone (618) 632-8100.

Contact Information

Primary practice address
4550 Memorial Dr Ste 350 Belleville IL 62226-5372
Phone: (618) 632-8100
Fax: (618) 632-8101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 105431 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-094928 Illinois

Profile Details

NPI number 1841289014
LBN Legal business name Mann, Eric S
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Dec 27th, 2019 - about 5 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 1841289014 NPPES
Illinois Other 213418 PTAN
Illinois Other 06030124 PTAN
Illinois Other 3411178005 PTAN
Illinois Other 431872920 PTAN
Illinois Other 5234019 PTAN
Illinois Other 5234019 PTAN
Illinois Other 000000012366 PTAN
Illinois Other 00827 PTAN
Illinois Other 5234019 PTAN
Illinois Other 65960 PTAN
Illinois Other 10585 PTAN
Illinois Other 143209 PTAN
Illinois MEDICAID 207652041 PTAN
Illinois Other CB6939 PTAN
Illinois Other 000000012366 PTAN
Illinois Other 008257 PTAN
Illinois Other 000015461 PTAN
Illinois Other 255484 PTAN
Illinois Other CB6940 PTAN

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