Sheila R Mane Md Pc

LBN: Sheila R Mane Md Pc
Sheila R Mane Md Pc is an health care organization with primary practice located at 1730 E Beverly Ave , Kingman AZ 86409-3500. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Sheila R Mane Md Pc can be contacted via phone (928) 681-3960, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
1730 E Beverly Ave Kingman AZ 86409-3500
Fax: (928) 869-0067
Website:
Authorized official contact:
Name: Shackelford, Direndia

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 27651 Arizona

Profile Details

NPI number 1366512444
LBN Legal business name Sheila R Mane Md Pc
DBA Doing business as Sheila R Mane Md Pc
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366512444 NPPES
Arizona MEDICAID 474742
Arizona Other 0352815

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