Manuel, Alex
Manuel, Alex is an sole proprietor health care provider with primary practice located at 2651 E Discovery Pkwy , Bloomington IN 47408-9059. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Manuel, Alex can be contacted via phone (812) 676-4542.Contact Information
Primary practice address
2651 E Discovery Pkwy
Bloomington IN 47408-9059
Phone: (812) 676-4542
Fax: (812) 676-4106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 309824 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01089687A | Indiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01089687A | Indiana |
Profile Details
| NPI number | 1982180568 |
|---|---|
| LBN Legal business name | Manuel, Alex |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2018 |
| Last updated | Aug 24th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982180568 | NPPES |
| Indiana | MEDICAID | 300075846 | |
| Indiana | Other | 090540095 |
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