Mannino, Anthony
Mannino, Anthony is an sole proprietor health care provider with primary practice located at 126 E Main St Ste B, Payson AZ 85541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mannino, Anthony can be contacted via phone (928) 468-8610.Contact Information
Primary practice address
126 E Main St Ste B
Payson AZ 85541
Phone: (928) 468-8610
Fax: (928) 468-8605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO02797 | Arizona |
Profile Details
| NPI number | 1700849072 |
|---|---|
| LBN Legal business name | Mannino, Anthony |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Jun 22nd, 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 | 1700849072 | NPPES |
| Arizona | MEDICAID | 133760 | |
| Arizona | Other | AZ0856210 |
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