Martin M Mancuso Md Pc

LBN: Martin M Mancuso Md Pc
Martin M Mancuso Md Pc is an health care organization with primary practice located at 11704 W Center Rd Ste 210 , Omaha NE 68144-4327. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Martin M Mancuso Md Pc can be contacted via phone (402) 334-3377, or through Derouchey, Mary via phone (402) 330-0444.

Contact Information

Primary practice address
11704 W Center Rd Ste 210 Omaha NE 68144-4327
Phone: (402) 334-3377
Fax: (402) 691-9922
Website:
Map and Directions
Authorized official contact:
Name: Derouchey, Mary
Phone: (402) 330-0444

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14017 Nebraska

Profile Details

NPI number 1326233545
LBN Legal business name Martin M Mancuso Md Pc
DBA Doing business as
Authorized official Derouchey, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2007
Last updated Aug 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326233545 NPPES
Iowa MEDICAID 0903674
Iowa Other 828013494

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