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:
Health care specialties
Specialty | Code | License # | 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 11 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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