Mann, Jack Michael
Mann, Jack Michael is an sole proprietor health care provider with primary practice located at 42-23 Francis Lewis Blvd. Ste. 105, Bayside NY 11361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mann, Jack Michael can be contacted via phone (718) 225-5106.Contact Information
Primary practice address
42-23 Francis Lewis Blvd. Ste. 105
Bayside NY 11361
Phone: (718) 225-5106
Fax: (718) 225-0816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 158742 | New York |
Profile Details
| NPI number | 1376542217 |
|---|---|
| LBN Legal business name | Mann, Jack Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Apr 9th, 2020 - about 4 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 | 1376542217 | NPPES |
| New York | MEDICAID | 00923579 |
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