Nissanka, Manage

Nissanka, Manage is an sole proprietor health care provider with primary practice located at 127 Rosemary Ln , South Windsor CT 06074-1563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nissanka, Manage can be contacted via phone (860) 916-2578.

Contact Information

Primary practice address
127 Rosemary Ln South Windsor CT 06074-1563
Phone: (860) 916-2578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 016539 Connecticut
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME135031 Florida

Profile Details

NPI number 1477535540
LBN Legal business name Nissanka, Manage
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Aug 6th, 2020 - about 4 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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