Manzella, John Paul

Manzella, John Paul is an individual health care provider with primary practice located at 2965 Broxton Ln , York PA 17402-3824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Manzella, John Paul can be contacted via phone (717) 851-1405.

Contact Information

Primary practice address
2965 Broxton Ln York PA 17402-3824
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD022043-E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD022043E Pennsylvania

Profile Details

NPI number 1609859636
LBN Legal business name Manzella, John Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated May 9th, 2012 - about 13 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 1609859636 NPPES
Pennsylvania MEDICAID 000647467
Pennsylvania Other 033269
Pennsylvania Other 1523365
Pennsylvania Other 34515
Pennsylvania Other 4401108
Pennsylvania Other 093834

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