Manousos, John
Manousos, John is an individual health care provider with primary practice located at 1234 Mineral Spring Ave , North Providence RI 02904-4105. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Manousos, John can be contacted via phone (401) 722-5800.Contact Information
Primary practice address
1234 Mineral Spring Ave
North Providence RI 02904-4105
Phone: (401) 722-5800
Fax: (401) 722-6718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DEN02475 | Rhode Island |
Profile Details
| NPI number | 1053464214 |
|---|---|
| LBN Legal business name | Manousos, John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1053464214 | NPPES |
| Rhode Island | MEDICAID | JM02082 |
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