Manquen, Jack

Manquen, Jack is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Manquen, Jack can be contacted via phone (602) 933-1000.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Phone: (602) 933-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7329 Oklahoma
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 010269 Arizona

Profile Details

NPI number 1801424346
LBN Legal business name Manquen, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2020
Last updated Jul 1st, 2024 - about last year

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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