Perez, Manuel Robert

Perez, Manuel Robert is an individual health care provider with primary practice located at 1711 Ashley Cir Suite 7 And 8, Bowling Green KY 42104-5801. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Perez, Manuel Robert can be contacted via phone (270) 782-0405.

Contact Information

Primary practice address
1711 Ashley Cir Suite 7 And 8 Bowling Green KY 42104-5801
Fax: (270) 782-9683
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16554 Kentucky

Profile Details

NPI number 1952314007
LBN Legal business name Perez, Manuel Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Aug 7th, 2007 - about 17 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 1952314007 NPPES
Kentucky MEDICAID 64165541

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