Manzlak, Derrick Anthony

Manzlak, Derrick Anthony is an individual health care provider with primary practice located at 3976 University Lake Dr Ste 100 , Anchorage AK 99508-4644. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Manzlak, Derrick Anthony can be contacted via phone (907) 729-8141.

Contact Information

Primary practice address
3976 University Lake Dr Ste 100 Anchorage AK 99508-4644
Phone: (907) 729-8141
Fax: (907) 729-3998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 261728 Massachusetts
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 0101262628 Virginia

Profile Details

NPI number 1235429457
LBN Legal business name Manzlak, Derrick Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2011
Last updated Oct 13th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235429457 NPPES
Virginia MEDICAID 1235429457

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