Manzo, Matthew T
Manzo, Matthew T is an individual health care provider with primary practice located at 10 Aviemore Drive , Pinehurst NC 28374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Manzo, Matthew T can be contacted via phone (910) 215-5555.Contact Information
Primary practice address
10 Aviemore Drive
Pinehurst NC 28374
Phone: (910) 215-5555
Fax: (910) 215-0366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36221 | North Carolina |
Profile Details
| NPI number | 1376591636 |
|---|---|
| LBN Legal business name | Manzo, Matthew T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Dec 14th, 2009 - about 16 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 | 1376591636 | NPPES |
| North Carolina | Other | 2182209D | MEDICARE |
| North Carolina | Other | 53849 | MEDICARE |
| North Carolina | MEDICAID | 8953849 | MEDICARE |
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