Mantella, Domenic Michael

Mantella, Domenic Michael is an sole proprietor health care provider with primary practice located at 1500 Village Run Rd Suite 308, Wexford PA 15090-6316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mantella, Domenic Michael can be contacted via phone (724) 934-1900.

Contact Information

Primary practice address
1500 Village Run Rd Suite 308 Wexford PA 15090-6316
Phone: (724) 934-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD439686 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD439686 Pennsylvania

Profile Details

NPI number 1326273392
LBN Legal business name Mantella, Domenic Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2009
Last updated Feb 21st, 2013 - about 12 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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