Manocchio, Brooke Lynette
Manocchio, Brooke Lynette is an individual health care provider with primary practice located at 2115 Leiter Rd , Miamisburg OH 45342-3659. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Manocchio, Brooke Lynette can be contacted via phone (937) 384-6800.Contact Information
Primary practice address
2115 Leiter Rd
Miamisburg OH 45342-3659
Phone: (937) 384-6800
Fax: (937) 384-6939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 58.004216 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34011470 | Ohio |
Profile Details
| NPI number | 1104193945 |
|---|---|
| LBN Legal business name | Manocchio, Brooke Lynette |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2011 |
| Last updated | Jan 14th, 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 | 1104193945 | NPPES |
| Ohio | MEDICAID | 0112512 |
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