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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790984276 | NPPES |
Louisiana | MEDICAID | 03632513 | |
Louisiana | MEDICAID | 1076112 |
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