Manning, Gordon S
Manning, Gordon S is an individual health care provider with primary practice located at 154 E Main St Suite 101, Westborough MA 01581-1768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Manning, Gordon S can be contacted via phone (508) 366-1120.Contact Information
Primary practice address
154 E Main St Suite 101
Westborough MA 01581-1768
Phone: (508) 366-1120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 49844 | Massachusetts |
Profile Details
| NPI number | 1235110594 |
|---|---|
| LBN Legal business name | Manning, Gordon S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Oct 28th, 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 | 1235110594 | NPPES |
| Massachusetts | MEDICAID | 0186945 |
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