Mansnerus, Roger A

Mansnerus, Roger A is an individual health care provider with primary practice located at 850 Columbia Rd Ste 150, Westlake OH 44145-1493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mansnerus, Roger A can be contacted via phone (440) 250-5737.

Contact Information

Primary practice address
850 Columbia Rd Ste 150 Westlake OH 44145-1493
Phone: (440) 250-5737
Fax: (440) 250-5738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35044597 Ohio

Profile Details

NPI number 1659373538
LBN Legal business name Mansnerus, Roger A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jun 26th, 2009 - about 15 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 1659373538 NPPES
Ohio MEDICAID 0517131
Ohio Other P00360277
Ohio Other P00705952
Ohio Other 000000501421
Ohio Other 341542312148
Ohio Other 743124
Ohio Other 377322

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