Mann, Nancy
Mann, Nancy is an individual health care provider with primary practice located at 1502 Locust St N Ste 700 , Twin Falls ID 83301-4164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Mann, Nancy can be contacted via phone (208) 595-5095.Contact Information
Primary practice address
1502 Locust St N Ste 700
Twin Falls ID 83301-4164
Phone: (208) 595-5095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | M-7029 | Idaho |
Profile Details
| NPI number | 1063405454 |
|---|---|
| LBN Legal business name | Mann, Nancy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jan 2nd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063405454 | NPPES |
| Idaho | MEDICAID | 002601500 |
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