Manteuffel, Mark

Manteuffel, Mark is an individual health care provider with primary practice located at 26672 Van Dyke Ave , Center Line MI 48015-1222. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Manteuffel, Mark can be contacted via phone (586) 756-7670.

Contact Information

Primary practice address
26672 Van Dyke Ave Center Line MI 48015-1222
Fax: (586) 756-8279
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301002969 Michigan

Profile Details

NPI number 1366475212
LBN Legal business name Manteuffel, Mark
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1366475212 NPPES
Michigan MEDICAID 2099272

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