Manning, Thomas Crellin
Manning, Thomas Crellin is an individual health care provider with primary practice located at 6140 W Curtisian Ave Ste 400 , Boise ID 83704-8907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Manning, Thomas Crellin can be contacted via phone (208) 327-5600.Contact Information
Primary practice address
6140 W Curtisian Ave Ste 400
Boise ID 83704-8907
Phone: (208) 327-5600
Fax: (208) 327-5602
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | M9928 | Idaho |
Profile Details
NPI number | 1861501637 |
---|---|
LBN Legal business name | Manning, Thomas Crellin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2006 |
Last updated | May 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861501637 | NPPES |
Other | 8944944 | CRIMES VICTIMS | |
MEDICAID | 1861501637 | CRIMES VICTIMS | |
Other | 20140 | CRIMES VICTIMS | |
Other | 006154 | CRIMES VICTIMS | |
Other | 0222532 | CRIMES VICTIMS | |
Other | 100001035500 | CRIMES VICTIMS |
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Jutzy, Ronald E
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