Mann, John Walter
Mann, John Walter is an individual health care provider with primary practice located at 2331 Franklin Rd Sw , Roanoke VA 24014-1111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Mann, John Walter can be contacted via phone (540) 725-1226.Contact Information
Primary practice address
2331 Franklin Rd Sw
Roanoke VA 24014-1111
Phone: (540) 725-1226
Fax: (540) 857-5306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 0101048448 | Virginia |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 0101048448 | Virginia |
Profile Details
| NPI number | 1487631602 |
|---|---|
| LBN Legal business name | Mann, John Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jun 15th, 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 | 1487631602 | NPPES |
| Virginia | Other | 009878000 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 371194700 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | P080129534 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | MEDICAID | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 540506332115 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
| Virginia | Other | 1487631602 | MEDICAID OF WEST VIRGINIA |
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