Mantilla, Ronnie Daniel
Mantilla, Ronnie Daniel is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 378 , Coeur D Alene ID 83814-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mantilla, Ronnie Daniel can be contacted via phone (208) 625-3555.Contact Information
Primary practice address
700 W Ironwood Dr Ste 378
Coeur D Alene ID 83814-4401
Phone: (208) 625-3555
Fax: (208) 625-3556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | M15022 | Idaho |
Profile Details
| NPI number | 1164785549 |
|---|---|
| LBN Legal business name | Mantilla, Ronnie Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2012 |
| Last updated | Feb 12th, 2020 - about 6 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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