Manord, Jeffrey Derrick

Manord, Jeffrey Derrick is an individual health care provider with primary practice located at 15225 Highway 43 Ste D , Russellville AL 35653-1969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Manord, Jeffrey Derrick can be contacted via phone (256) 332-1500.

Contact Information

Primary practice address
15225 Highway 43 Ste D Russellville AL 35653-1969
Phone: (256) 332-1500
Fax: (256) 398-8888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD23436 Alabama
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 23436 Alabama

Profile Details

NPI number 1275587552
LBN Legal business name Manord, Jeffrey Derrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275587552 NPPES
Alabama MEDICAID 126779
Alabama Other 511-17526

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