Manship, Mark Edward
Manship, Mark Edward is an individual health care provider with primary practice located at 1366 N Gardner St Ste 140, Scottsburg IN 47170. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Manship, Mark Edward can be contacted via phone (812) 752-7444.Contact Information
Primary practice address
1366 N Gardner St Ste 140
Scottsburg IN 47170
Phone: (812) 752-7444
Fax: (812) 752-6855
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01028150A | Indiana |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01028150A | Indiana |
Profile Details
NPI number | 1609850403 |
---|---|
LBN Legal business name | Manship, Mark Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2005 |
Last updated | Feb 6th, 2019 - about 5 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 | 1609850403 | NPPES |
Indiana | MEDICAID | 100331030 | |
Indiana | Other | 000000295943 |
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