Manson, Carolyn S.

Manson, Carolyn S. is an individual health care provider with primary practice located at 3400 Delta Fair Blvd , Antioch CA 94509-4004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Manson, Carolyn S. can be contacted via phone (925) 779-5000.

Contact Information

Primary practice address
3400 Delta Fair Blvd Antioch CA 94509-4004
Phone: (925) 779-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X G52535 California

Profile Details

NPI number 1205900529
LBN Legal business name Manson, Carolyn S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1205900529 NPPES
California MEDICAID 00G525350

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