Mcmanama, Gerald Peter

Mcmanama, Gerald Peter is an individual health care provider with primary practice located at 3154 West 11Th Ave , Eugene OR 97402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mcmanama, Gerald Peter can be contacted via phone (541) 988-6200.

Contact Information

Primary practice address
3154 West 11Th Ave Eugene OR 97402
Phone: (541) 988-6200
Fax: (541) 988-6215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X R7H29 Missouri
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD160341 Oregon

Profile Details

NPI number 1780619601
LBN Legal business name Mcmanama, Gerald Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 14th, 2017 - about 7 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 1780619601 NPPES
Missouri Other 770000741 RAILROAD MEDICARE
Missouri MEDICAID 202643524 RAILROAD MEDICARE
Missouri MEDICAID 500654960 RAILROAD MEDICARE

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