Mashburn, Manon Brooke

Mashburn, Manon Brooke is an individual health care provider with primary practice located at 5325 Broder Blvd , Dublin CA 94568-3309. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Mashburn, Manon Brooke can be contacted via phone (925) 551-6740.

Contact Information

Primary practice address
5325 Broder Blvd Dublin CA 94568-3309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X MD.200800 Louisiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 200800 Louisiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C-172128 California

Profile Details

NPI number 1790984276
LBN Legal business name Mashburn, Manon Brooke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Nov 14th, 2023 - about last year

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 1790984276 NPPES
Louisiana MEDICAID 03632513
Louisiana MEDICAID 1076112

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