Mcmanimon, Shaun Patrick
Mcmanimon, Shaun Patrick is an individual health care provider with primary practice located at 677 N Wilmot Rd , Tucson AZ 85711-2701. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mcmanimon, Shaun Patrick can be contacted via phone (520) 795-2889.Contact Information
Primary practice address
677 N Wilmot Rd
Tucson AZ 85711-2701
Phone: (520) 795-2889
Fax: (520) 795-6321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 19780 | Arizona |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 19780 | Arizona |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 19780 | Arizona |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 19780 | Arizona |
Profile Details
| NPI number | 1982675112 |
|---|---|
| LBN Legal business name | Mcmanimon, Shaun Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Feb 27th, 2013 - about 11 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 | 1982675112 | NPPES |
| Arizona | Other | 300086238 | MEDICARE RAILROAD |
| Arizona | MEDICAID | 103680 | MEDICARE RAILROAD |
| Arizona | Other | 1982675112 | MEDICARE RAILROAD |
| Arizona | Other | CS7943 | MEDICARE RAILROAD |
| Arizona | Other | ZWCBBM | MEDICARE RAILROAD |
| Arizona | Other | 1841261989 | MEDICARE RAILROAD |
| Arizona | Other | 005472 | MEDICARE RAILROAD |
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