Mansour, Craig S
Mansour, Craig S is an individual health care provider with primary practice located at 100 N Brent St Ste 301, Ventura CA 93003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mansour, Craig S can be contacted via phone (805) 648-2763.Contact Information
Primary practice address
100 N Brent St Ste 301
Ventura CA 93003
Phone: (805) 648-2763
Fax: (805) 653-5639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A82165 | California |
Profile Details
| NPI number | 1063516235 |
|---|---|
| LBN Legal business name | Mansour, Craig S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Oct 13th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063516235 | NPPES |
| California | Other | A82165 | STATE OF CA |
| California | MEDICAID | 00WA82165A | STATE OF CA |
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