Manning, Edward

Manning, Edward is an individual health care provider with primary practice located at 2500 North State Street Dept Of Neurology, Jackson MS 39216. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Manning, Edward can be contacted via phone (601) 984-5500.

Contact Information

Primary practice address
2500 North State Street Dept Of Neurology Jackson MS 39216
Fax: (601) 984-5499
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 25-324 Mississippi

Profile Details

NPI number 1689689010
LBN Legal business name Manning, Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Feb 1st, 2013 - about 11 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 1689689010 NPPES
Louisiana MEDICAID 1676608
Louisiana MEDICAID 0110219

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