Mannino, Stanley C

Mannino, Stanley C is an individual health care provider with primary practice located at 485 Colliers Way Suite K, Weirton WV 26062-5012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mannino, Stanley C can be contacted via phone (304) 723-3360.

Contact Information

Primary practice address
485 Colliers Way Suite K Weirton WV 26062-5012
Fax: (304) 723-0569
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 13828 West Virginia

Profile Details

NPI number 1487645727
LBN Legal business name Mannino, Stanley C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Aug 28th, 2008 - about 16 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 1487645727 NPPES
West Virginia MEDICAID 0084201000
West Virginia MEDICAID 102111709-0001
West Virginia MEDICAID 001164895-00006

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