Mannheimer, Alan

Mannheimer, Alan is an individual health care provider with primary practice located at 104 Quail Trail Unit B, Edgewood NM 87015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mannheimer, Alan can be contacted via phone (505) 208-0204.

Contact Information

Primary practice address
104 Quail Trail Unit B Edgewood NM 87015
Phone: (505) 208-0204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A95367 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME114820 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101277209 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2013-00527 North Carolina

Profile Details

NPI number 1679717789
LBN Legal business name Mannheimer, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2009
Last updated Dec 1st, 2022 - about 2 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 1679717789 NPPES
South Carolina MEDICAID NC2050
South Carolina MEDICAID 1679717789
South Carolina MEDICAID 007868100

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