Manning, John Michael
Manning, John Michael is an individual health care provider with primary practice located at 111 Fountains Blvd. , Madison MS 39110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Manning, John Michael can be contacted via phone (601) 707-7026.Contact Information
Primary practice address
111 Fountains Blvd.
Madison MS 39110
Phone: (601) 707-7026
Fax: (601) 707-7054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 13190 | Mississippi |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 00342 | Mississippi |
Profile Details
| NPI number | 1649211772 |
|---|---|
| LBN Legal business name | Manning, John Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jan 12th, 2021 - 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 | 1649211772 | NPPES |
| Mississippi | MEDICAID | 00114972 |
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